Provider Demographics
NPI:1508067091
Name:UNIVERSITY MEDICAL CENTER U OF ARIZONA
Entity Type:Organization
Organization Name:UNIVERSITY MEDICAL CENTER U OF ARIZONA
Other - Org Name:UNIVSERITY OF ARIZONA RESIDENCY TRAINING
Other - Org Type:Other Name
Authorized Official - Title/Position:UROLOGY RESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:A
Authorized Official - Last Name:LINEHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-626-6012
Mailing Address - Street 1:1501 N CAMPBELL AVE
Mailing Address - Street 2:4OPC OFFICE OF UROLOGY
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85724-0001
Mailing Address - Country:US
Mailing Address - Phone:520-626-6012
Mailing Address - Fax:
Practice Address - Street 1:1501 N CAMPBELL AVE
Practice Address - Street 2:4OPC OFFICE OF UROLOGY
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85724-0001
Practice Address - Country:US
Practice Address - Phone:520-626-6012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes281P00000XHospitalsChronic Disease Hospital