Healthcare Provider Details

I. General information

NPI: 1275546533
Provider Name (Legal Business Name): FRANCIS A TOBIN III M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 09/15/2023
Certification Date: 09/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20950 N TATUM BLVD STE 250
PHOENIX AZ
85050-4253
US

IV. Provider business mailing address

PO BOX 734240
CHICAGO IL
60673-4240
US

V. Phone/Fax

Practice location:
  • Phone: 480-701-4660
  • Fax: 480-948-8401
Mailing address:
  • Phone: 708-634-4602
  • Fax: 630-495-1770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number036111373
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: