Provider Demographics
NPI:1033183785
Name:TOWNSEND, DEBRA J (MD)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:J
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DEBRA
Other - Middle Name:J
Other - Last Name:POLSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3040 N SWAN RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-1225
Mailing Address - Country:US
Mailing Address - Phone:520-320-1369
Mailing Address - Fax:520-320-1357
Practice Address - Street 1:3040 N SWAN RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-1225
Practice Address - Country:US
Practice Address - Phone:520-320-1369
Practice Address - Fax:520-320-1357
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-16
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20969207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ100010884OtherR.R. MEDICARE PIN
AZE12482Medicare UPIN
AZ100010884OtherR.R. MEDICARE PIN