Provider Demographics
NPI:1164564894
Name:ESCALANTE, JAIME MARIO (CCP)
Entity Type:Individual
Prefix:MR
First Name:JAIME
Middle Name:MARIO
Last Name:ESCALANTE
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Gender:M
Credentials:CCP
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Mailing Address - Street 1:2251 N INDIAN RUINS RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-5331
Mailing Address - Country:US
Mailing Address - Phone:520-885-8800
Mailing Address - Fax:520-885-2000
Practice Address - Street 1:2251 N INDIAN RUINS RD
Practice Address - Street 2:SUITE C
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-5331
Practice Address - Country:US
Practice Address - Phone:520-885-8800
Practice Address - Fax:520-885-2000
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2010-12-16
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes242T00000XTechnologists, Technicians & Other Technical Service ProvidersPerfusionist