Provider Demographics
NPI:1417708595
Name:SOUTHERN ARIZONA AIDS FOUNDATION
Entity Type:Organization
Organization Name:SOUTHERN ARIZONA AIDS FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-547-6099
Mailing Address - Street 1:375 S EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-6644
Mailing Address - Country:US
Mailing Address - Phone:520-547-6099
Mailing Address - Fax:
Practice Address - Street 1:375 S EUCLID AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-6644
Practice Address - Country:US
Practice Address - Phone:520-547-6099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty