Christopher Martin Moreno, | |
1501 N Campbell Ave Rm 6336, Tucson, AZ 85724-0001 | |
(520) 626-8818 | |
(520) 626-6020 |
Full Name | Christopher Martin Moreno |
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Gender | Male |
Speciality | Dermatology |
Location | 1501 N Campbell Ave Rm 6336, Tucson, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275196784 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | R77338 (Arizona) | Secondary |
207N00000X | Dermatology | 67691 (Arizona) | Secondary |
207N00000X | Dermatology | 132671711205 (Utah) | Primary |
Entity Name | Epiphany Dermatology Of Arizona Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457465858 PECOS PAC ID: 9830181361 Enrollment ID: O20040402000307 |
Mailing Address | Practice Location Address |
---|---|
Christopher Martin Moreno, 7165 N Pima Canyon Dr, Tucson, AZ 85718-1407 Ph: (520) 694-8888 | Christopher Martin Moreno, 1501 N Campbell Ave Rm 6336, Tucson, AZ 85724-0001 Ph: (520) 626-8818 |
Dr. Inderjit Chabra, MD, PHD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 4715 E. Camp Lowell Drive, Tucson, AZ 85712 Phone: 520-955-8395 Fax: 520-300-8013 | |
Andrea N Steele, PA-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1735 E Skyline Dr, Tucson, AZ 85718 Phone: 520-618-1630 Fax: 520-618-1636 | |
Clara Curiel, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 535 N Wilmot Rd, Ste 101, Tucson, AZ 85711 Phone: 520-874-3500 | |
Tracey Newlove, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6565 E Carondelet Dr, Suite 145, Tucson, AZ 85710 Phone: 520-886-4199 Fax: 520-886-3114 | |
Dr. Tamra J Whiteley-myers, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1595 E River Rd, Suite 201, Tucson, AZ 85718 Phone: 520-293-5757 Fax: 520-293-7358 | |
Dr. James Thomas Schwartz, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1595 E River Rd, Suite 201, Tucson, AZ 85718 Phone: 520-293-5757 Fax: 520-293-7358 | |
Dr. Tracy A Jeck, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5150 E. Glenn St., Tucson, AZ 85712 Phone: 520-795-7729 Fax: 520-795-4177 |