Angela Wyatt Dermatology, P.C.
LBN: Angela Wyatt Dermatology, P.C.
Angela Wyatt Dermatology, P.C. is an health care organization with primary practice located at 150 N Verde St Suite 101, Flagstaff AZ 86001-5256. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Angela Wyatt Dermatology, P.C. can be contacted via phone (928) 779-6923, or through Wyatt, Angela via phone (928) 779-6923.
Contact Information
Primary practice address
150 N Verde St Suite 101
Flagstaff AZ 86001-5256
Phone: (928) 779-6923
Fax: (928) 779-6924
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 42581 | Arizona |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 42581 | Arizona |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | 42581 | Arizona |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 42581 | Arizona |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 42581 | Arizona |
Profile Details
| NPI number | 1053640151 |
|---|---|
| LBN Legal business name | Angela Wyatt Dermatology, P.C. |
| DBA Doing business as | |
| Authorized official | Wyatt, Angela Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 18th, 2009 |
| Last updated | Jan 15th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053640151 | NPPES |
| Other | 1528011368 | NPI |
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