Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Old Pueblo Dermatology Ltd

Organization Specialist · NPI 1003934977

Old Pueblo Dermatology Ltd provides Specialist services in Tucson, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1980 W Hospital Dr #307
Tucson, AZ 85704-7802
Phone: (520) 742-7777
Fax: (520) 742-9316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 9882 (AZ)

Record details

NPI number1003934977
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joseph Sosnow — President · (520) 742-7777
NPI enumeratedMarch 27, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1980 W Hospital Dr, 307, Tucson, AZ 85704-7802

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