Wellformed AI

NPI 1922484088 · live from the CMS NPI Registry

Advanced Dermatology Of Arizona, PC

Dermatology in Scottsdale, AZ. National Provider Identifier 1922484088, active.

NPI record

NPI1922484088 Type 2 · organization
StatusActive
Primary specialtyDermatology 207N00000X
Practice location8817 E Bell Rd Ste 101, Scottsdale, AZ 85260
Practice phone602-264-9044
Mailing address151 Southhall Ln Ste 300, Maitland, FL 32751
EnumeratedJuly 30, 2015
Last updatedJuly 30, 2015
Authorized officialLinda Crandall, Credentialing Coordinator

Taxonomies and licenses

TaxonomyCodeLicense
Dermatology primary207N00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.