Desert Dermatology, Pllc
LBN: Desert Dermatology, Pllc
Desert Dermatology, Pllc is an health care organization with primary practice located at 1521 E Tangerine Rd Ste 161 , Oro Valley AZ 85755-6217. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty.
Desert Dermatology, Pllc can be contacted via phone (520) 771-0288, or through Goedken, Michelle via phone (269) 370-0510.
Contact Information
Primary practice address
1521 E Tangerine Rd Ste 161
Oro Valley AZ 85755-6217
Phone: (520) 771-0288
Fax: (520) 771-0289
Website:
Authorized official contact:
Name: Goedken, Michelle Doctor of Osteopathy (DO)
Phone: (269) 370-0510
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ||
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X |
Profile Details
| NPI number | 1417673112 |
|---|---|
| LBN Legal business name | Desert Dermatology, Pllc |
| DBA Doing business as | |
| Authorized official | Goedken, Michelle Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 13th, 2022 |
| Last updated | Oct 13th, 2022 - about 2 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 | 1417673112 | NPPES |
| Arizona | MEDICAID | 110342 |
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