Provider Demographics
NPI:1770541443
Name:KRIZSA, GEORGINA D (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGINA
Middle Name:D
Last Name:KRIZSA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 N ALVERNON
Mailing Address - Street 2:ARIZONA COMMUNITY PHYSICIANS PC SUITE 216
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711
Mailing Address - Country:US
Mailing Address - Phone:520-547-4902
Mailing Address - Fax:520-795-0225
Practice Address - Street 1:1400 W VALENCIA
Practice Address - Street 2:PALOMA MEDICAL GROUP
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85746
Practice Address - Country:US
Practice Address - Phone:520-751-3312
Practice Address - Fax:520-547-5785
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ20894208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
F43249Medicare UPIN