GERINET OF ARIZONA PLC
Osteopathic Medicine at Tanque Verde Rd, Tucson, AZ

License number
Arizona 4219
Category
Osteopathic Medicine
Type
Family Medicine
License number
Arizona 43887
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. IYAD HOUSHAN M.D.
Title: PRESIDENT
Phone: (714) 619-8777
Address
Address
6377 E Tanque Verde Rd SUITE 230, Tucson, AZ 85715
National Provider ID: 1952678344
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GERINET OF ARIZONA PLC

2100 N Wilmot STE 221, Tucson, AZ 85712

Industry:
Nonclassifiable Establishments, Professional Organization
Registration:
Dec 30, 2005
State ID:
P-1252319-6
Expiration:
PERPETUAL
Managers:
Kim Duyen Phan (Member), 3401 W Sunflower Ave #225, Santa Ana, CA 92704 (Physical),George Fields (Member, President), 3401 W Sunflower Ave #225, Santa Ana, CA 92704 (Physical),Charlene Aquino (Manager)
Agent:
Lrr Agent Service Of Arizona I,201 E Washington St STE 1200, Phoenix, AZ 85004 (Physical)

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