Epiphany Dermatology Of Arizona, Llc in Peoria - Dermatology
Epiphany Dermatology Of Arizona, Llc - NPI 1457465858
Epiphany Dermatology Of Arizona, Llc is a Dermatology in Peoria, Arizona. Epiphany Dermatology Of Arizona, Llc practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Epiphany Dermatology Of Arizona, Llc is 1457465858. The last update date is 2023-12-07.
Epiphany Dermatology Of Arizona, Llc's current location address is 7767 W Deer Valley Rd, Peoria, Arizona. You can contact this provider via phone number 6234873003 and fax number 6234870952. The mailing address for Epiphany Dermatology Of Arizona, Llc is 7767 W Deer Valley Rd, Peoria, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Epiphany Dermatology Of Arizona, Llc |
|---|---|
| Address | 7767 W Deer Valley Rd, Peoria, Arizona |
| Phone Number | 6234873003 |
| Fax Number | 6234870952 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Pusta Gheorghe |
| Telephone Number | 5126280465 |
NPI Number Detail
| NPI Number | 1457465858 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2023-12-07 |
Provider Mailing Address Detail
| Address | 7767 W Deer Valley Rd |
|---|---|
| City | Peoria |
| State | Arizona (AZ) |
| Post Code | 853822103 |
| Phone Number | 6234873003 |
| Fax Number | 6234870952 |
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 Epiphany Dermatology Of Arizona, Llc's unique identification number?
The Epiphany Dermatology Of Arizona, Llc has been assigned the NPI (National Provider Identifier) Number 1457465858 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Epiphany Dermatology Of Arizona, Llc's physical address?
The Epiphany Dermatology Of Arizona, Llc is physically located at 7767 W Deer Valley Rd, in the city of Peoria, AZ, with the postal code 853822103.
What is Epiphany Dermatology Of Arizona, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Epiphany Dermatology Of Arizona, Llc is Dermatology, and the taxonomy classification code that categorizes this area of expertise is 207N00000X.
On what date did Epiphany Dermatology Of Arizona, Llc receive its 1457465858 assignment from the Centers for Medicare & Medicaid Services?
The Epiphany Dermatology Of Arizona, Llc was assigned its 1457465858 on 2006-08-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Epiphany Dermatology Of Arizona, Llc last refreshed?
The information related to the Epiphany Dermatology Of Arizona, Llc, including its address, specialty, and other relevant details, was last updated on 2023-12-07.