Organization
WILLOW DERMATOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD FAZEL MD, PHARMD (MD/CO-OWNER)
(520) 261-5205
Entity
Organization
Contact information
Practice address
7544 N LA CHOLLA BLVD, TUCSON, AZ 85741-2307
(520) 261-5205
Mailing address
7544 N LA CHOLLA BLVD, TUCSON, AZ 85741-2307
(520) 261-5205
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Enumeration date
03/02/2026
Last updated
08/11/2026
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