Active NPI 1871634725 Individual Practitioner Female Practitioner

Dr. Tracy Lee Thomas , MD

Dermatology • Tucson, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Tracy Thomas, MD is a certified Dermatology practicing in Tucson, AZ. With approximately 24 years of clinical experience since graduating from University Of Arizona College Of Medicine in 2002, Dr. Thomas delivers high-quality medical care to the local community at 6565 E CARONDELET DR.

Dr. Thomas is affiliated with Tucson Dermatology Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, destruction of up to 14 skin growths. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6565 E Carondelet Dr
Suite 145

Tucson, AZ 857102157

Telephone 5208864199

Fax 5208863114

Associated Practice Facility / Clinic

🏢 Barton S. Fink Dpm Llc Facility NPI 1538274683

Medicare Profile & Education

Medical School

University Of Arizona College Of Medicine

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Tucson, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +2.0 yrs vs City Avg

City Avg: 22.0 Yrs

State Avg: 18.6 Yrs

Regional Practice Density

75 Specialists

Practicing in Tucson, AZ (369 Statewide)

Telehealth Adoption Rate

1.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

46.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Thomas (24 Years) 24 Yrs

Tucson Specialty Average (22.0 Years) 22.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,476	790	$133.40	$87.54
17003 Destruction of precancer skin growth, 2-14 growths	1,357	252	$9.75	$6.39
17110 Destruction of up to 14 skin growths	674	445	$166.77	$106.62
11102 Tangential biopsy of single skin lesion	630	458	$146.92	$77.56
17000 Destruction of skin growth	611	381	$99.29	$44.01
11103 Biopsy of related skin growth, each additional growth	253	166	$73.52	$48.18
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	97	84	$82.92	$54.47
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	76	62	$262.24	$153.87
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	70	66	$445.32	$291.87
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	51	48	$359.31	$117.68
69100 Biopsy of ear	37	33	$139.69	$55.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	30	$188.07	$123.62
11104 Punch biopsy, first skin growth	26	25	$182.44	$119.92
17111 Destruction of skin growth, 15 or more growths	23	19	$195.13	$128.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$162.72	$107.47
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	21	19	$393.97	$129.00
17004 Destruction of precancer skin growth, 15 or more growths	20	17	$245.57	$161.01
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	18	17	$463.05	$303.47
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	16	$276.53	$165.52
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	12	$302.13	$171.60
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	13	$372.24	$121.89
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	12	12	$252.29	$82.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,497	810	$132.93	$88.63
17003 Destruction of precancer skin growth, 2-14 growths	1,391	252	$9.86	$6.58
17110 Destruction of up to 14 skin growths	636	454	$167.60	$109.23
17000 Destruction of skin growth	588	387	$99.08	$43.79
11102 Tangential biopsy of single skin lesion	549	428	$149.92	$82.80
11103 Biopsy of related skin growth, each additional growth	197	140	$74.29	$48.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	85	74	$83.12	$55.23
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	84	62	$263.84	$157.37
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	46	43	$449.34	$300.71
17111 Destruction of skin growth, 15 or more growths	36	24	$196.10	$131.01
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	35	33	$361.69	$121.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	23	$188.21	$122.77
69100 Biopsy of ear	23	23	$142.94	$72.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$165.08	$110.26
11104 Punch biopsy, first skin growth	20	19	$185.82	$124.31
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	20	18	$304.00	$198.49
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	19	19	$468.50	$313.06
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	18	18	$396.30	$132.41
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	15	$372.38	$132.80
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	15	$278.53	$174.27
17004 Destruction of precancer skin growth, 15 or more growths	13	11	$248.89	$166.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,534	865	$118.54	$89.42
17003 Destruction of precancer skin growth, 2-14 growths	1,388	263	$8.48	$6.63
17110 Destruction of up to 14 skin growths	672	466	$148.56	$108.92
17000 Destruction of skin growth	551	377	$87.93	$43.53
11102 Tangential biopsy of single skin lesion	543	423	$134.64	$82.15
11103 Biopsy of related skin growth, each additional growth	193	129	$68.96	$50.72
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	93	82	$73.47	$55.76
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	93	73	$236.01	$163.72
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	44	38	$399.16	$302.15
11104 Punch biopsy, first skin growth	39	37	$167.18	$124.69
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	37	30	$321.48	$121.73
69100 Biopsy of ear	27	26	$127.09	$71.29
17004 Destruction of precancer skin growth, 15 or more growths	26	22	$214.90	$167.19
17111 Destruction of skin growth, 15 or more growths	24	22	$173.31	$128.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	19	$166.42	$126.66
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	20	11	$2.93	$1.14
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$146.17	$110.91
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	19	17	$410.38	$315.83
11900 Injection into skin growth, 1-7 growths	17	11	$73.65	$34.65
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	13	$252.91	$175.10
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	13	$348.54	$133.60
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	14	14	$194.11	$136.31
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	12	$276.60	$196.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,616	288	$8.27	$6.46
99213 Established patient office or other outpatient visit, typically 15 minutes	1,513	858	$116.71	$90.75
17000 Destruction of skin growth	675	429	$83.82	$43.84
17110 Destruction of up to 14 skin growths	666	463	$144.74	$108.93
11102 Tangential biopsy of single skin lesion	660	499	$132.88	$83.28
11103 Biopsy of related skin growth, each additional growth	359	206	$67.62	$52.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	103	89	$71.84	$55.79
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	97	67	$228.62	$157.10
11104 Punch biopsy, first skin growth	52	50	$166.00	$128.38
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	43	41	$394.37	$308.29
17111 Destruction of skin growth, 15 or more growths	41	33	$169.73	$132.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	29	$164.95	$126.20
17004 Destruction of precancer skin growth, 15 or more growths	31	24	$212.00	$164.98
69100 Biopsy of ear	28	26	$126.64	$74.14
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	26	24	$317.12	$123.90
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	26	20	$242.00	$163.21
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	18	17	$190.00	$120.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$143.31	$111.41
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	15	12	$328.00	$127.88
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	13	$347.00	$135.55
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	12	12	$407.00	$317.21
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	12	11	$264.00	$197.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	1,686	317	$6.83	$6.00
99213 Established patient office or other outpatient visit, typically 15 minutes	1,252	872	$95.97	$74.45
11102 Tangential biopsy of single skin lesion	630	501	$129.00	$82.18
17000 Destruction of skin growth	622	450	$84.13	$44.27
17110 Destruction of up to 14 skin growths	571	449	$143.07	$109.64
11103 Biopsy of related skin growth, each additional growth	251	169	$68.21	$52.63
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	220	167	$56.04	$44.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	81	81	$139.11	$109.17
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	66	47	$227.21	$154.39
17004 Destruction of precancer skin growth, 15 or more growths	49	40	$186.00	$155.69
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	45	42	$389.53	$299.63
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	42	20	$2.86	$1.48
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	31	30	$318.45	$127.97
17111 Destruction of skin growth, 15 or more growths	31	29	$170.06	$131.21
11104 Punch biopsy, first skin growth	26	23	$162.00	$121.24
69100 Biopsy of ear	25	24	$126.24	$64.97
11900 Injection into skin growth, 1-7 growths	22	20	$71.00	$38.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$138.14	$107.50
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	14	$241.00	$169.35
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	14	14	$393.00	$305.06
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	14	12	$263.36	$205.05
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	11	11	$373.00	$301.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,196	393	$7.03	$5.57
99213 Established patient office or other outpatient visit, typically 15 minutes	1,690	1,048	$94.01	$73.55
11102 Tangential biopsy of single skin lesion	862	655	$128.00	$80.75
17000 Destruction of skin growth	838	570	$85.01	$44.55
17110 Destruction of up to 14 skin growths	726	548	$144.00	$106.89
11103 Biopsy of related skin growth, each additional growth	382	234	$68.99	$52.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	284	220	$56.96	$44.65
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	87	66	$227.52	$153.25
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	65	59	$392.52	$298.48
17004 Destruction of precancer skin growth, 15 or more growths	61	50	$191.23	$150.95
17111 Destruction of skin growth, 15 or more growths	56	48	$169.59	$128.75
69100 Biopsy of ear	51	46	$129.22	$67.31
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	48	43	$321.54	$121.23
11104 Punch biopsy, first skin growth	37	37	$161.00	$121.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$138.00	$101.79
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	23	20	$242.04	$158.24
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	21	21	$186.95	$126.76
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	21	19	$263.24	$194.81
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)	16	15	$478.15	$395.58
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	16	15	$157.50	$122.21
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	12	12	$331.00	$138.38
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	11	11	$378.00	$294.43
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	11	11	$380.00	$299.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,732	456	$6.83	$4.99
99213 Established patient office or other outpatient visit, typically 15 minutes	1,766	1,120	$94.06	$69.35
17000 Destruction of skin growth	979	624	$85.13	$43.95
11100 Biopsy of single growth of skin and/or tissue	962	731	$135.94	$83.69
17110 Destruction of up to 14 skin growths	829	593	$144.07	$105.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	358	265	$56.07	$41.62
11101 Biopsy of each additional growth of skin and/or tissue	337	228	$42.04	$31.08
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	75	60	$226.23	$146.27
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	61	57	$390.57	$288.12
17004 Destruction of precancer skin growth, 15 or more growths	50	40	$186.44	$137.78
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	45	42	$321.09	$121.08
69100 Biopsy of ear	34	32	$130.12	$63.63
17111 Destruction of skin growth, 15 or more growths	32	29	$170.09	$122.74
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$138.15	$102.63
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	20	20	$263.50	$195.21
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	15	11	$186.00	$109.99
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	14	$331.36	$122.41
12042 Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm	13	13	$373.77	$275.99
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	11	$241.46	$164.46
17281 Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth	13	11	$230.38	$137.55
96567 Application of light and light-sensitive drugs to aid destruction of premalignant skin growths, per session	11	11	$147.00	$108.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	2,259	429	$7.32	$5.54
99213 Established patient office or other outpatient visit, typically 15 minutes	1,763	1,149	$95.00	$71.93
17000 Destruction of skin growth	884	603	$87.00	$46.86
11100 Biopsy of single growth of skin and/or tissue	816	627	$135.00	$84.84
17110 Destruction of up to 14 skin growths	782	583	$144.00	$108.07
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	345	260	$57.00	$42.98
11101 Biopsy of each additional growth of skin and/or tissue	259	171	$42.83	$32.11
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm	65	54	$228.00	$159.28
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	53	49	$395.00	$299.50
69100 Biopsy of ear	46	46	$131.00	$79.04
17111 Destruction of skin growth, 15 or more growths	44	36	$171.00	$128.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	37	37	$140.00	$106.52
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	36	34	$324.00	$122.53
17004 Destruction of precancer skin growth, 15 or more growths	31	27	$196.00	$148.38
17272 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	25	21	$243.00	$169.00
17261 Destruction of cancer skin growth of trunk, arms, or legs, 0.6-1.0 cm	22	20	$187.00	$109.10
99202 New patient office or other outpatient visit, typically 20 minutes	19	19	$97.00	$73.78
17282 Destruction of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	19	19	$266.00	$201.70
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	17	14	$335.00	$126.67
12052 Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth	12	11	$383.00	$290.19

Medical Specialties & State Licenses

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License AZ 40998

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Id

Z147252 (AZ)

Hospital & Practice Group Affiliations

Tucson Dermatology Ltd

6565 E Carondelet Dr, Tucson, AZ 857103545

Phone: 5208864199

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Tracey Newlove , MD

Dermatology - MOHS-Micrographic Surgery

NPI 1033386669

Doctor of Medicine (M.D.)

Dr. Mindy Powell , MD

Specialist

NPI 1083606305

Doctor of Medicine (M.D.)

Sharon Mccabe , PA-C

Dermatology

NPI 1316776511

Physician Assistant (Certified)

Dr. Edwin Rather , MD

Dermatology

NPI 1386684512

Doctor of Medicine (M.D.)

Dr. Bruce Lynn , MD

Dermatology

NPI 1609858893

Doctor of Medicine (M.D.)

Dr. Ann Gerald , MD

Dermatology

NPI 1760431050

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 01, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location April 01, 2016

Registered at 6565 E CARONDELET DR, SUITE 145, TUCSON, AZ 857102157 (Tel: 5208864199)

📍

Updated Business Mailing Address April 01, 2016

Registered at 6565 E CARONDELET DR, SUITE 145, TUCSON, AZ 857102157 (Tel: 5208864199)

👤

Provider Name / Credentials Updated April 01, 2016

Recorded as TRACY THOMAS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2016

Dermatology (License #40998 in AZ)

🟢

Initial NPI Registration & Enumeration February 12, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1871634725

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: February 12, 2007

Last Update: April 01, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6565 E Carondelet Dr, Suite 145

Tucson, AZ 857102157

Phone: 5208864199

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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