North Valley Dermatology Llc in Peoria - Dermatology
North Valley Dermatology Llc - NPI 1184600884
North Valley Dermatology Llc is a Dermatology in Peoria, Arizona. North Valley Dermatology Llc practices all healthcare services and medical treatments related to Dermatology. The NPI Number for North Valley Dermatology Llc is 1184600884. The last update date is 2011-09-12.
North Valley Dermatology Llc's current location address is 14155 N 83rd Ave, Peoria, Arizona. You can contact this provider via phone number 6232150911 and fax number 6232150912. The mailing address for North Valley Dermatology Llc is 14155 N 83rd Ave, Peoria, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | North Valley Dermatology Llc |
|---|---|
| Address | 14155 N 83rd Ave, Peoria, Arizona |
| Phone Number | 6232150911 |
| Fax Number | 6232150912 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Fredenberg F Mary |
| Credentials | MD |
| Telephone Number | 6232150911 |
NPI Number Detail
| NPI Number | 1184600884 |
|---|---|
| Provider Enumeration Date | 2005-12-15 |
| Last Updated Date | 2011-09-12 |
Provider Mailing Address Detail
| Address | 14155 N 83rd Ave |
|---|---|
| City | Peoria |
| State | Arizona (AZ) |
| Post Code | 853815639 |
| Phone Number | 6232150911 |
| Fax Number | 6232150912 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 16095 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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What is the North Valley Dermatology Llc's 1184600884?
The North Valley Dermatology Llc's NPI (National Provider Identifier) Number is 1184600884. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where North Valley Dermatology Llc's facilities are situated?
The facilities of North Valley Dermatology Llc are physically located at the following address: 14155 N 83Rd Ave, Peoria, AZ, 853815639.
What is the area of specialization for North Valley Dermatology Llc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for North Valley Dermatology Llc is Dermatology, and the corresponding taxonomy code that categorizes this area of expertise is 207N00000X.
When did the North Valley Dermatology Llc receive its 1184600884?
The North Valley Dermatology Llc was issued its 1184600884 on 2005-12-15, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to North Valley Dermatology Llc most recently updated or revised?
The details related to North Valley Dermatology Llc, including its address, specialty, and other relevant information, were last updated or revised on 2011-09-12.
NPI Number: 1225026222
Address: 300 Twining St Bldg 760, Maxwell Afb, AL