Bryan Robert Updegraff in Sun City - Pediatric Dermatology
Bryan Robert Updegraff - NPI 1710971320
Bryan Robert Updegraff is a Pediatric Dermatology in Sun City, Arizona. Bryan Robert Updegraff practices all healthcare services and medical treatments related to Pediatric Dermatology. The NPI Number for Bryan Robert Updegraff is 1710971320. The last update date is 2015-02-16.
Bryan Robert Updegraff's current location address is 13000 N 103rd Ave, Sun City, Arizona. You can contact this provider via phone number 6239333107 and fax number 6239721418. The mailing address for Bryan Robert Updegraff is 13000 N 103rd Ave, Sun City, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bryan Robert Updegraff |
|---|---|
| Address | 13000 N 103rd Ave, Sun City, Arizona |
| Phone Number | 6239333107 |
| Fax Number | 6239721418 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1710971320 |
|---|---|
| Provider Enumeration Date | 2005-09-09 |
| Last Updated Date | 2015-02-16 |
Provider Mailing Address Detail
| Address | 13000 N 103rd Ave |
|---|---|
| City | Sun City |
| State | Arizona (AZ) |
| Post Code | 853513024 |
| Phone Number | 6239333107 |
| Fax Number | 6239721418 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dermatology |
|---|---|
| Taxonomy | 207Np0225X |
| Licence No | 10896 |
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Definition: A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents. |
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What is the unique identification code assigned to Bryan Robert Updegraff by the Centers for Medicare & Medicaid Services?
The Bryan Robert Updegraff has been issued the NPI (National Provider Identifier) 1710971320. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Bryan Robert Updegraff is located?
The Bryan Robert Updegraff is situated at the following address: 13000 N 103Rd Ave, Sun City, AZ, 853513024.
What is the Bryan Robert Updegraff's area of specialization and corresponding taxonomy classification?
The Bryan Robert Updegraff's specialty field is Pediatric Dermatology, and it falls under the taxonomy code 207Np0225X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1710971320 to Bryan Robert Updegraff?
The Centers for Medicare & Medicaid Services assigned the 1710971320 to Bryan Robert Updegraff on 2005-09-09.
As of what date were the details related to Bryan Robert Updegraff most recently updated or revised?
The information pertaining to Bryan Robert Updegraff, including its address, specialty, and other relevant details, was last updated or revised on 2015-02-16.