Organization
ADOBE DERMATOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY G SILVIS MD (PRESIDENT)
(520) 795-3800
Entity
Organization
Contact information
Practice address
5155 E FARNESS DR, SUITE 111B, TUCSON, AZ 85712-2158
(520) 795-3800
(520) 795-3806
Mailing address
PO BOX 30370, TUCSON, AZ 85751-0370
(520) 722-0777
(520) 290-9713
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
22332
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175366
—
AZ
01
—
AZ0885160
BCBSAZ
AZ
Enumeration date
01/22/2007
Last updated
10/22/2007
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