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NPI Code Detail

MEDICARE: SPECIALISTS IN DERMATOLOGY, PLLC

MEDICARE: SPECIALISTS IN DERMATOLOGY, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

General Provider Information

NPI Number : 1073662946
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPECIALISTS IN DERMATOLOGY, PLLC
Provider Business Mailing Address
First Line : 2732 N ALVERNON WAY
Second Line :
City : TUCSON
State : AZ
Zip : 85712-1804
Country : US
Telephone Number : 520-382-3330
Fax Number : 520-382-3340
Provider Business Practice Location Address
First Line : 2732 N ALVERNON WAY
Second Line :
City : TUCSON
State : AZ
Zip : 85712-1804
Country : US
Telephone Number : 520-382-3330
Fax Number : 520-382-3340
Authorized Official
Title or Position : CO-OWNER
Name : DR. MIREILLE CLAUDE ALGAZI
Credential : M.D.
Telephone Number : 520-382-3330
Provider Enumeration Date : 01/09/2007
Last Update Date : 08/22/2020

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Directions to “SPECIALISTS IN DERMATOLOGY, PLLC ” Practice Location

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