Provider Demographics
NPI:1629226790
Name:HOBSON, ANDREA JOY (MD)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:JOY
Last Name:HOBSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9895 E FOREST GROVE LOOP
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85749-8006
Mailing Address - Country:US
Mailing Address - Phone:520-626-6627
Mailing Address - Fax:
Practice Address - Street 1:1840 S STAPLEY DR STE 131
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85204-6683
Practice Address - Country:US
Practice Address - Phone:602-839-7412
Practice Address - Fax:602-839-7325
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2022-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ47026208000000X, 2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics