MEDICARE: ANDREA JOY HOBSON MD

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
1	208000000X	Pediatrics Physician	47026	AZ
2	2080N0001X	Neonatal-Perinatal Medicine Physician	47026	AZ

General Provider Information

NPI Number	:	1629226790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA JOY HOBSON MD

Provider Business Mailing Address
First Line	:	9895 E FOREST GROVE LOOP
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85749-8006
Country	:	US
Telephone Number	:	520-626-6627
Fax Number	:

Provider Business Practice Location Address
First Line	:	1840 S STAPLEY DR STE 131
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85204-6683
Country	:	US
Telephone Number	:	602-839-7412
Fax Number	:	602-839-7325

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2008
Last Update Date	:	05/11/2022

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