Old Pueblo Dermatology Ltd

Specialty details in registry · Tucson, AZ

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At a glance

1980 W Hospital Dr, Tucson, AZ 85704-7802

NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

1980 W Hospital Dr #307
Tucson, AZ 85704-7802
Professional details: NPI, taxonomy & registry record
NPI1003934977
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
174400000X
Enumeration date
Mar 27, 2007
Record updated
Aug 22, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

174400000X · Primary

License reported: 9882 AZ

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1980 W Hospital Dr
#307
Tucson, AZ 85704-7802
Phone
(520) 742-7777
Fax
(520) 742-9316
Mailing address
1980 W HOSPITAL DR
#307
TUCSON, AZ 857047802
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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