PIMA DERMATOLOGY OFFICE BASED SURGERY
Medical Practice at Glenn St, Tucson, AZ

License number
Arizona 11394
Category
Medical Practice
Type
Specialist
Owner
Name: DR. GERALD N GOLDBERG M.D.
Title: OWNER
Phone: (520) 795-7729
Address
Address
5150 E Glenn St, Tucson, AZ 85712
National Provider ID: 1376744847
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PIMA DERMATOLOGY OFFICE BASED SURGERY, LLC

5150 E Glenn St, Tucson, AZ 85712

Registration:
Jun 27, 2007
State ID:
L-1376449-3
Expiration:
PERPETUAL
Members:
Gerald N Goldberg Md (Manager), 5150 E Glenn St, Tucson, AZ 85712 (Physical),Pima Dermatology Pc (Member), 5150 E Glenn St, Tucson, AZ 85712 (Physical)
Agent:
Eugene C Gieseler,3430 E Sunrise Dr, Tucson, AZ 85718 (Physical)

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