Palm Canyon Dermatology, Pc
LBN: Palm Canyon Dermatology, Pc
Palm Canyon Dermatology, Pc is an health care organization with primary practice located at 350 W Catalina Dr , Yuma AZ 85364-8112. The organization recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as the primary health care specialty.
Palm Canyon Dermatology, Pc can be contacted via phone (928) 344-0650, or through Ertl, Gregory Andrew via phone (928) 344-0650.
Contact Information
Primary practice address
350 W Catalina Dr
Yuma AZ 85364-8112
Phone: (928) 344-0650
Fax: (928) 344-3928
Website:
Authorized official contact:
Name: Ertl, Gregory Andrew Doctor of Medicine (MD)
Phone: (928) 344-0650
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Managed Care Organizations / Point of Service | 305S00000X | 19732 | Arizona |
Profile Details
NPI number | 1437339470 |
---|---|
LBN Legal business name | Palm Canyon Dermatology, Pc |
DBA Doing business as | |
Authorized official | Ertl, Gregory Andrew Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 7th, 2007 |
Last updated | Nov 16th, 2007 - about 17 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 | 1437339470 | NPPES |
Other | CG5646 | RAIL ROAD MEDICARE |
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