Provider Demographics
NPI:1700888039
Name:BARMATZ, MITZI J (MD)
Entity Type:Individual
Prefix:
First Name:MITZI
Middle Name:J
Last Name:BARMATZ
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6325 E TANQUE VERDE RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-3808
Mailing Address - Country:US
Mailing Address - Phone:520-795-5830
Mailing Address - Fax:520-885-4469
Practice Address - Street 1:2260 W ORANGE GROVE RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-3117
Practice Address - Country:US
Practice Address - Phone:520-795-5830
Practice Address - Fax:520-885-4469
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2018-05-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ24224174400000X, 208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ347460Medicaid
AZ347460Medicaid
0288760001Medicare NSC