Provider Demographics
NPI:1700824620
Name:SYNCHRONICITY CENTER, PLLC
Entity Type:Organization
Organization Name:SYNCHRONICITY CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO- DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-327-9624
Mailing Address - Street 1:1701 E LIND RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-2340
Mailing Address - Country:US
Mailing Address - Phone:520-327-9624
Mailing Address - Fax:520-327-5535
Practice Address - Street 1:1701 E LIND RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-2340
Practice Address - Country:US
Practice Address - Phone:520-327-9624
Practice Address - Fax:520-327-5535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty