Basic Information
Provider Information
NPI: 1255463725
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARRON
FirstName: SARAH
MiddleName: TUTTLETON
NamePrefix:  
NameSuffix:  
Credential: M.D., PH.D.
OtherOrganizationName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1701 DIVISADERO ST
Address2: BOX 316
City: SAN FRANCISCO
State: CA
PostalCode: 941153011
CountryCode: US
TelephoneNumber: 4153537800
FaxNumber: 4153537838
Practice Location
Address1: 1750 EL CAMINO REAL STE 206
Address2:  
City: BURLINGAME
State: CA
PostalCode: 940103214
CountryCode: US
TelephoneNumber: 6506920182
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/11/2007
LastUpdateDate: 08/25/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/25/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207NS0135XA88721CAN Allopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
207ND0101XA88721CAY Allopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery

No ID Information.


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