NPI 1184600884

North Valley Dermatology LLC

Organisation Dermatology Physician Peoria, AZ

Practice location

Address: 14155 N 83rd Ave Suite 110, Peoria, AZ 85381-5639
Phone: (623) 215-0911
Fax: (623) 215-0912

Authorised official

Name: Mary F Fredenberg
Title: Owner
Phone: (623) 215-0911

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 16095 (AZ)

Other Dermatology providers in Arizona →

Registry record

NPI: 1184600884
Entity type: Organization
NPI issued: 15 Dec 2005
Record last updated: 12 Sep 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.