CLAUDIA Y COELLO-RASOUMOFF SA-C
NPI 1073901492
Physician Assistant - Surgical in Tucson, AZ
Active since January 07, 2015
About Claudia Y Coello-rasoumoff Sa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLAUDIA Y COELLO-RASOUMOFF SA-C (NPI 1073901492) is an individual surgical provider in Tucson, Arizona and active in the NPI registry since January 2015. She maintains a secondary practice location in Tucson.
NPPES Registry Identity
NPI1073901492
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameCLAUDIA Y COELLO-RASOUMOFFCredential: SA-C
Location Address2803 E 5TH STTucson, AZ 85716-4433
Mailing AddressPo Box 2550Rowlett, TX 75030-2550 · (214) 227-2457 · Fax (214) 764-0880
Phone(214) 227-2457
Fax(214) 764-0880
Sole ProprietorYes
Enumeration DateJanuary 7, 2015
Last NPPES UpdateOctober 6, 20206 updates tracked since enumeration
NPPES CertifiedOctober 6, 2020
✔ NPI 1073901492 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedSpecialist/Technologist, Other · Surgical AssistantTaxonomy 246ZC0007X
2803 E 5TH ST, Tucson, AZ 85716
Secondary Practice Location 1
Location 12109 E Greenlee RdTucson, AZ 85719 · Phone (520) 780-6236
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073901492, enumerated as an "individual" on January 07, 2015.
The provider is located at 2803 E 5TH ST TUCSON, AZ 85716 and the phone number is (214) 227-2457.
Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.