Arizona Skin Specialists Pllc

LBN: Arizona Skin Specialists Pllc
Arizona Skin Specialists Pllc is an health care organization with primary practice located at 16620 N 40Th St Ste I-5, Phoenix AZ 85032-3348. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Arizona Skin Specialists Pllc can be contacted via phone (602) 482-1300, or through Johnson, Mark E. B. via phone (602) 482-1300.

Contact Information

Primary practice address
16620 N 40Th St Ste I-5 Phoenix AZ 85032-3348
Phone: (602) 482-1300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Mark E. B. Doctor of Medicine (MD)
Phone: (602) 482-1300

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 24917 Arizona

Profile Details

NPI number 1134165657
LBN Legal business name Arizona Skin Specialists Pllc
DBA Doing business as
Authorized official Johnson, Mark E. B. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 22nd, 2006
Last updated Apr 26th, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134165657 NPPES
Texas Other K3265 MEDICAL LICENSE
Texas Other MD0000031574 MEDICAL LICENSE

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