OrganizationActive
Academy Dermatologists Group LLC
NPI 1144588047 · Procedural Dermatology Physician · Tucson, AZ
Provider details
- NPI number
- 1144588047
- Entity type
- Organization
- Primary specialty
- Procedural Dermatology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Gheorghe Pusta, Ceo
- License
- RN081679 (AZ)
Practice location
6648 E Carondelet Dr
Tucson, AZ 85710-2119
Phone: (520) 886-8151
Fax: (520) 885-1404
Mailing address
6601 Vaught Ranch Rd Ste 200
Austin, TX 78730-2309
Registry dates
- Enumerated
- 2012-04-27
- Last updated
- 2018-02-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.