Organization
TUCSON DERMATOLOGY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM DAVID JACOBY JR. MD (PRESIDENT OF TUCSON DERMATOLOGY LTD)
(520) 886-4199
Entity
Organization
Contact information
Practice address
6640 E CARONDELET DR, TUCSON, AZ 85710-2119
(520) 886-4199
(520) 886-3114
Mailing address
6640 E CARONDELET DR, TUCSON, AZ 85710-2119
(520) 886-4199
(520) 886-3114
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
6653
AZ
207N00000X
Dermatology Physician
Primary
8592
AZ
207ND0101X
MOHS-Micrographic Surgery Physician
6653
AZ
Other
Enumeration date
05/08/2006
Last updated
04/07/2008
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