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Individual

DR. MIREILLE C ALGAZI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3190 N SWAN RD, TUCSON, AZ 85712-1227
(520) 547-9700
(520) 547-9719
Mailing address
5055 E BROADWAY BLVD, A100, TUCSON, AZ 85711-3640
(520) 327-0460
(520) 795-0225

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
26221
AZ
207N00000X
Dermatology Physician
Primary
26221
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Z140242
MEDICARE PTAN
AZ
Enumeration date
08/26/2005
Last updated
02/08/2012
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