Healthcare Provider Details

I. General information

NPI: 1558363465
Provider Name (Legal Business Name): IRONWOOD DERMATOLOGY, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2005
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1735 E SKYLINE DR
TUCSON AZ
85718-1162
US

IV. Provider business mailing address

1735 E SKYLINE DR
TUCSON AZ
85718-1162
US

V. Phone/Fax

Practice location:
  • Phone: 520-618-1630
  • Fax:
Mailing address:
  • Phone: 520-618-1630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207ND0101X
TaxonomyMOHS-Micrographic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207ND0900X
TaxonomyDermatopathology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number
License Number State

VIII. Authorized Official

Name: FIONA J BEHR
Title or Position: OWNER/PARTNER
Credential: M.D
Phone: 520-618-1630