Sagebrush Dermatology Pllc

LBN: Sagebrush Dermatology Pllc
Sagebrush Dermatology Pllc is an health care organization with primary practice located at 5432 E Southern Ave Ste 101B , Mesa AZ 85206-2772. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Sagebrush Dermatology Pllc can be contacted via phone (480) 681-3376, or through Li, Chao via phone (480) 681-3376.

Contact Information

Primary practice address
5432 E Southern Ave Ste 101B Mesa AZ 85206-2772
Phone: (480) 681-3376
Fax: (480) 681-3372
Website:
Map and Directions
Authorized official contact:
Name: Li, Chao Doctor of Medicine (MD)
Phone: (480) 681-3376

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1174274435
LBN Legal business name Sagebrush Dermatology Pllc
DBA Doing business as
Authorized official Li, Chao Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2022
Last updated Mar 3rd, 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.

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