Pima Dermatology PC
Specialist in Tucson, AZ. Organization (NPI-2).
NPI number1710051412
StatusActive
Last updated in NPPESMay 2, 2008
Details
- NPI
- 1710051412
- Entity type
- Organization (NPI-2)
- Legal business name
- Pima Dermatology PC
- Organization subpart
- No
- Enumeration date
- Nov 17, 2006
- Last updated
- May 2, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
5150 E Glenn StTucson, AZ 85712-1337
Phone 520-795-7729 · Fax 520-795-4177
Mailing address
5150 E Glenn StTucson, AZ 85712-1337
Phone 520-795-7729 · Fax 520-795-4177
Authorized official
Jean Soinski
Account Manager
5207957729
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