Clear Sky Dermatology Llc

LBN: Clear Sky Dermatology Llc
Clear Sky Dermatology Llc is an health care organization with primary practice located at 2620 N 140Th Ave Ste 103 , Goodyear AZ 85395-2437. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Clear Sky Dermatology Llc can be contacted via phone (623) 219-4777, or through Svancara, Kevin via phone (623) 853-3762.

Contact Information

Primary practice address
2620 N 140Th Ave Ste 103 Goodyear AZ 85395-2437
Phone: (623) 219-4777
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Svancara, Kevin Doctor of Osteopathy (DO)
Phone: (623) 853-3762

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 006549 Arizona

Profile Details

NPI number 1306369996
LBN Legal business name Clear Sky Dermatology Llc
DBA Doing business as
Authorized official Svancara, Kevin Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2017
Last updated Mar 22nd, 2023 - about last year

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 1306369996 NPPES
Arizona Other 006549 MEDICAL LICENSE NUMBER

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