MEDICARE: DEBORA THOMAS ANDREWS 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	207N00000X	Dermatology Physician	23745	AZ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	070009056	OTHER	AZ	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1Z3680	OTHER	AZ	HEALTH NET
2	0812973	OTHER	AZ	AETNA
3	188961600	OTHER	AZ	DEPT OF LABOR WORK COMP
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	AZ0395880	OTHER	AZ	BLUE CROSS BLUE SHIELD
7	99S007000007	OTHER	AZ	MEDISUN

General Provider Information

NPI Number	:	1508814179
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORA THOMAS ANDREWS MD

Provider Business Mailing Address
First Line	:	1490 N TURQUOISE DR
Second Line	:
City	:	FLAGSTAFF
State	:	AZ
Zip	:	86001-1383
Country	:	US
Telephone Number	:	928-774-5074
Fax Number	:	928-779-0884

Provider Business Practice Location Address
First Line	:	450 S WILLARD ST STE 115
Second Line	:
City	:	COTTONWOOD
State	:	AZ
Zip	:	86326-6744
Country	:	US
Telephone Number	:	928-639-9596
Fax Number	:	928-639-0189

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

Provider Enumeration Date	:	05/05/2006
Last Update Date	:	04/22/2024

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Directions to “ DEBORA THOMAS ANDREWS MD” Practice Location

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