Provider Demographics
NPI:1932210416
Name:DEAN J. LIMBERT, M.D. INC.
Entity Type:Organization
Organization Name:DEAN J. LIMBERT, M.D. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:LIMBERT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-822-8598
Mailing Address - Street 1:503 E HISTORIC ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85701-2867
Mailing Address - Country:US
Mailing Address - Phone:520-822-8598
Mailing Address - Fax:520-822-8576
Practice Address - Street 1:503 E HISTORIC ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85701-2867
Practice Address - Country:US
Practice Address - Phone:520-822-8598
Practice Address - Fax:520-822-8576
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG36662208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
A71182Medicare UPIN