Provider Demographics
NPI:1568839587
Name:PRICE, DAVID H (L AC)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:H
Last Name:PRICE
Suffix:
Gender:M
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 N TUCSON BLVD STE 1B
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-3400
Mailing Address - Country:US
Mailing Address - Phone:520-320-0354
Mailing Address - Fax:
Practice Address - Street 1:1601 N TUCSON BLVD STE 1B
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-3400
Practice Address - Country:US
Practice Address - Phone:520-320-0354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-25
Last Update Date:2015-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0268171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist