Phoenix Skin Ii Pc in Phoenix - Dermatology
Phoenix Skin Ii Pc - NPI 1609078997
Phoenix Skin Ii Pc is a Dermatology in Phoenix, Arizona. Phoenix Skin Ii Pc practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Phoenix Skin Ii Pc is 1609078997. The last update date is 2014-09-02.
Phoenix Skin Ii Pc's current location address is 5056 N Central Ave, Phoenix, Arizona. You can contact this provider via phone number 6022229111 and fax number 6022775111. The mailing address for Phoenix Skin Ii Pc is 5056 N Central Ave, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Phoenix Skin Ii Pc |
|---|---|
| Address | 5056 N Central Ave, Phoenix, Arizona |
| Phone Number | 6022229111 |
| Fax Number | 6022775111 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Laris P Lee |
| Credentials | DO |
| Telephone Number | 6022229111 |
NPI Number Detail
| NPI Number | 1609078997 |
|---|---|
| Provider Enumeration Date | 2007-05-31 |
| Last Updated Date | 2014-09-02 |
Provider Mailing Address Detail
| Address | 5056 N Central Ave |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850121521 |
| Phone Number | 6022229111 |
| Fax Number | 6022775111 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
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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 unique 10-digit identifier code assigned to Phoenix Skin Ii Pc by the Centers for Medicare & Medicaid Services?
The Phoenix Skin Ii Pc has been issued the NPI (National Provider Identifier) 1609078997 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Phoenix Skin Ii Pc's facilities are situated?
The facilities of Phoenix Skin Ii Pc are physically located at the following address: 5056 N Central Ave, Phoenix, AZ, 850121521.
What is Phoenix Skin Ii Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Phoenix Skin Ii Pc's specialized field of practice is Dermatology, and the corresponding taxonomy code that categorizes this area of specialization is 207N00000X.
On what date did the Phoenix Skin Ii Pc receive its 1609078997 assignment from the Centers for Medicare & Medicaid Services?
The Phoenix Skin Ii Pc was assigned its 1609078997 by the Centers for Medicare & Medicaid Services on 2007-05-31.
When was the information related to Phoenix Skin Ii Pc most recently updated or refreshed?
The details pertaining to the Phoenix Skin Ii Pc, including its address, specialty, and other relevant information, were last updated or refreshed on 2014-09-02.
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