Old Pueblo Dermatology Ltd in Tucson - Specialist
Old Pueblo Dermatology Ltd - NPI 1003934977
Old Pueblo Dermatology Ltd is a Specialist in Tucson, Arizona. Old Pueblo Dermatology Ltd practices all healthcare services and medical treatments related to Specialist. The NPI Number for Old Pueblo Dermatology Ltd is 1003934977. The last update date is 2020-08-22.
Old Pueblo Dermatology Ltd's current location address is 1980 W Hospital Dr, Tucson, Arizona. You can contact this provider via phone number 5207427777 and fax number 5207429316. The mailing address for Old Pueblo Dermatology Ltd is 1980 W Hospital Dr, Tucson, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Old Pueblo Dermatology Ltd |
|---|---|
| Address | 1980 W Hospital Dr, Tucson, Arizona |
| Phone Number | 5207427777 |
| Fax Number | 5207429316 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Sosnow David Joseph |
| Credentials | MD |
| Telephone Number | 5207427777 |
NPI Number Detail
| NPI Number | 1003934977 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1980 W Hospital Dr |
|---|---|
| City | Tucson |
| State | Arizona (AZ) |
| Post Code | 857047802 |
| Phone Number | 5207427777 |
| Fax Number | 5207429316 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 9882 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Old Pueblo Dermatology Ltd?
The Old Pueblo Dermatology Ltd has been issued the NPI (National Provider Identifier) 1003934977 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Old Pueblo Dermatology Ltd is physically located?
The Old Pueblo Dermatology Ltd is physically situated at the following address: 1980 W Hospital Dr, Tucson, AZ, 857047802.
What is the Old Pueblo Dermatology Ltd's area of specialization and corresponding taxonomy classification?
The Old Pueblo Dermatology Ltd's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
When did Old Pueblo Dermatology Ltd receive its 1003934977 assignment?
The Old Pueblo Dermatology Ltd was assigned its 1003934977 on 2007-03-27, which is the date when this unique identifier was issued to the organization.
When was the information related to Old Pueblo Dermatology Ltd most recently updated or refreshed?
The details pertaining to the Old Pueblo Dermatology Ltd, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.