NPI 1144588047

Academy Dermatologists Group LLC

Organisation Procedural Dermatology Physician Tucson, AZ

Practice location

Address: 6648 E Carondelet Dr, Tucson, AZ 85710-2119
Phone: (520) 886-8151
Fax: (520) 885-1404
Mailing address: 6601 Vaught Ranch Rd STE 200, Austin, TX 78730-2309

Authorised official

Name: Gheorghe Pusta
Title: Ceo
Phone: (512) 960-5760

Registered specialties (2)

Procedural Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207NS0135X Licence 11617 (AZ)

Other Dermatology providers in Arizona →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence RN081679 (AZ)

Registry record

NPI: 1144588047
Entity type: Organization
NPI issued: 27 Apr 2012
Record last updated: 28 Feb 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.