NPI 1124739560

Desert Valley Dermatology Plc

Organisation MOHS-Micrographic Surgery Physician Phoenix, AZ

Practice location

Address: 3815 E Bell Rd STE 3100, Phoenix, AZ 85032-2156
Phone: (918) 625-4103
Mailing address: 4636 E Lafayette Blvd, Phoenix, AZ 85018-3830

Authorised official

Name: Travis Lam
Title: Member
Phone: (918) 625-4103

Registered specialties

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X

Other Dermatology providers in Arizona →

Registry record

NPI: 1124739560
Entity type: Organization
NPI issued: 7 Dec 2022
Record last updated: 1 Mar 2023

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.