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General NPI Number Information
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NPI Number | 1144587098
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Entity Type | Individual
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Provider Name | ALLEN PAUL MIRAFLOR M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/17/2012
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 1625 N CAMPBELL AVE
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City | TUCSON
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State | AZ
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Zip | 85719-4330
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Country | US
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Telephone | 520-694-0111
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Fax | 520-626-2521
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Provider Business Mailing Address
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Address Line | PO BOX 245106
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City | TUCSON
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State | AZ
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Zip | 85724-5106
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Country | US
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Telephone | 520-694-0111
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Fax | 520-626-2521
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | A152557
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | 68605
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License Number State | AZ
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