Organization
ASSOCIATED DERMATOLOGISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE C. SNAPP M.B.A. (ADMINISTRATOR)
(520) 290-8555
Entity
Organization
Contact information
Practice address
6296 E GRANT RD, STE. 180, TUCSON, AZ 85712-5833
(520) 290-8555
(520) 290-6470
Mailing address
6296 E GRANT RD, STE. 180, TUCSON, AZ 85712-5833
(520) 290-8555
(520) 290-6470
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZWCKCP
MEDICARE GROUP ID
AZ
Enumeration date
10/09/2007
Last updated
08/30/2021
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