Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 30725 | AZ |
NPI | 1073580924 |
---|---|
Provider Name | Ulker Tok |
First Address | Tucson, AZ 85704-1152 |
Second Address | Tucson, AZ 85704-1152 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2006 |
Last Update Date | 06/02/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30725 | LICENSE (01) | AZ |
744913 | (05) | AZ |
BT7363005 | DEA CERTIFICATE NUMBER (01) | |
H78453 | (02) |