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 is a Specialist 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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