NPI 1134165657

Arizona Skin Specialists PLLC

Organisation Dermatology Physician Phoenix, AZ

Practice location

Address: 16620 N 40th St STE I-5, Phoenix, AZ 85032-3348
Phone: (602) 482-1300

Authorised official

Name: Mark E. B. Johnson
Title: Owner
Phone: (602) 482-1300

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 24917 (AZ)

Other Dermatology providers in Arizona →

Registry record

NPI: 1134165657
Entity type: Organization
NPI issued: 22 Jun 2006
Record last updated: 26 Apr 2011

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.