Individual
DEBORA THOMAS ANDREWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
450 S WILLARD ST STE 115, COTTONWOOD, AZ 86326-6744
(928) 639-9596
(928) 639-0189
Mailing address
1490 N TURQUOISE DR, FLAGSTAFF, AZ 86001-1383
(928) 774-5074
(928) 779-0884
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
23745
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070009056
RAILROAD MEDICARE
AZ
01
—
0812973
AETNA
AZ
01
—
188961600
DEPT OF LABOR WORK COMP
AZ
01
—
1Z3680
HEALTH NET
AZ
05
—
347816
—
AZ
01
—
99S007000007
MEDISUN
AZ
01
—
AZ0395880
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
05/05/2006
Last updated
04/22/2024
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