Organization
PIMA DERMATOLOGY OFFICE BASED SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD N GOLDBERG M.D. (OWNER)
(520) 795-7729
Entity
Organization
Contact information
Practice address
5150 E GLENN ST, TUCSON, AZ 85712-1337
(520) 795-7729
(520) 795-4177
Mailing address
5150 E GLENN ST, TUCSON, AZ 85712-1337
(520) 795-7729
(520) 795-4177
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11394
AZ
Other
Enumeration date
05/30/2007
Last updated
08/22/2020
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