Palm Canyon Dermatology, Pc in Yuma - Point Of Service
Palm Canyon Dermatology, Pc - NPI 1437339470
Palm Canyon Dermatology, Pc is a Point Of Service in Yuma, Arizona. Palm Canyon Dermatology, Pc practices all healthcare services and medical treatments related to Point Of Service. The NPI Number for Palm Canyon Dermatology, Pc is 1437339470. The last update date is 2007-11-16.
Palm Canyon Dermatology, Pc's current location address is 350 W Catalina Dr, Yuma, Arizona. You can contact this provider via phone number 9283440650 and fax number 9283443928. The mailing address for Palm Canyon Dermatology, Pc is 350 W Catalina Dr, Yuma, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Palm Canyon Dermatology, Pc |
|---|---|
| Address | 350 W Catalina Dr, Yuma, Arizona |
| Phone Number | 9283440650 |
| Fax Number | 9283443928 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Ertl Andrew Gregory |
| Credentials | M.D. |
| Telephone Number | 9283440650 |
NPI Number Detail
| NPI Number | 1437339470 |
|---|---|
| Provider Enumeration Date | 2007-11-07 |
| Last Updated Date | 2007-11-16 |
Provider Mailing Address Detail
| Address | 350 W Catalina Dr |
|---|---|
| City | Yuma |
| State | Arizona (AZ) |
| Post Code | 853648112 |
| Phone Number | 9283440650 |
| Fax Number | 9283443928 |
Provider's Primary Taxonomy Detail
| Speciality | Point Of Service |
|---|---|
| Taxonomy | 305S00000X |
| Licence No | 19732 |
|
Definition: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| CG5646 | RAIL ROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Palm Canyon Dermatology, Pc by the Centers for Medicare & Medicaid Services?
The Palm Canyon Dermatology, Pc has been issued the NPI (National Provider Identifier) 1437339470 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 address where Palm Canyon Dermatology, Pc is geographically located?
The Palm Canyon Dermatology, Pc is physically situated at the following location: 350 W Catalina Dr, Yuma, AZ, 853648112.
What is Palm Canyon Dermatology, Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Palm Canyon Dermatology, Pc is Point Of Service, and the taxonomy code that categorizes this field of expertise is 305S00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1437339470 to Palm Canyon Dermatology, Pc?
The Centers for Medicare & Medicaid Services assigned the 1437339470 to Palm Canyon Dermatology, Pc on 2007-11-07.
As of what date were the details related to Palm Canyon Dermatology, Pc most recently updated or revised?
The information pertaining to Palm Canyon Dermatology, Pc, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-16.
NPI Number: 1720081763
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