Provider Demographics
NPI:1780406116
Name:DESERT OASIS PERSONALIZED CARE PLLC
Entity type:Organization
Organization Name:DESERT OASIS PERSONALIZED CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:NOONAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:520-375-9811
Mailing Address - Street 1:4955 N SABINO CANYON RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85750-6491
Mailing Address - Country:US
Mailing Address - Phone:520-375-9811
Mailing Address - Fax:
Practice Address - Street 1:4955 N SABINO CANYON RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85750-6491
Practice Address - Country:US
Practice Address - Phone:520-375-9811
Practice Address - Fax:520-675-1477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-28
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty