Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 32862 | AZ |
NPI | 1033182381 |
---|---|
Provider Name | Clara Curiel |
First Address | Tucson, AZ 85706-7124 |
Second Address | Tucson, AZ 85711-2600 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2006 |
Last Update Date | 29/05/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
868565 | (05) | AZ |
H22446 | (02) | AZ |
P00150568 | RR MEDICARE (01) | AZ |