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NPI Code Detail

MEDICARE: SHEFTEL & ASSOCIATES DERMATOLOGY, LLP

MEDICARE: SHEFTEL & ASSOCIATES DERMATOLOGY, LLP
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
1174400000XSpecialist

General Provider Information

NPI Number : 1750380697
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHEFTEL & ASSOCIATES DERMATOLOGY, LLP
Provider Business Mailing Address
First Line : 1595 E RIVER RD
Second Line : SUITE 201
City : TUCSON
State : AZ
Zip : 85718-5981
Country : US
Telephone Number : 520-293-5757
Fax Number : 520-293-7358
Provider Business Practice Location Address
First Line : 1595 E RIVER RD
Second Line : SUITE 201
City : TUCSON
State : AZ
Zip : 85718-5981
Country : US
Telephone Number : 520-293-5757
Fax Number : 520-293-7358
Authorized Official
Title or Position : PARTNER
Name : DR. SCOTT N SHEFTEL
Credential : M.D., FAAD
Telephone Number : 520-293-5757
Provider Enumeration Date : 07/20/2005
Last Update Date : 10/11/2021

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