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Specialists In Dermatology, PLLC

Specialist in Tucson, AZ. Organization (NPI-2).

NPI number1073662946
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1073662946
Entity type
Organization (NPI-2)
Legal business name
Specialists In Dermatology, PLLC
Organization subpart
No
Enumeration date
Jan 9, 2007
Last updated
Aug 22, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist––Yes

Practice location

2732 N Alvernon Way
Tucson, AZ 85712-1804

Phone 520-382-3330 · Fax 520-382-3340

Mailing address

2732 N Alvernon Way
Tucson, AZ 85712-1804

Phone 520-382-3330 · Fax 520-382-3340

Authorized official

Mireille Claude Algazi
Co-Owner
5203823330

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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