NPI 1003204975

Vernon T Mackey, PC

Organisation Clinical & Laboratory Dermatological Immunology Physician Peoria, AZ

Practice location

Address: 9191 W Thunderbird Rd STE D101, Peoria, AZ 85381-4270
Phone: (623) 977-6700
Fax: (623) 977-6771

Authorised official

Name: Shelly Mackey
Title: Manager
Phone: (623) 977-6700

Registered specialties

Clinical & Laboratory Dermatological Immunology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207NI0002X Licence 3535 (AZ)

Other Dermatology providers in Arizona →

Registry record

NPI: 1003204975
Entity type: Organization
NPI issued: 31 Dec 2014
Record last updated: 31 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.