NPI 1417673112

Desert Dermatology, PLLC

Organisation Dermatology Physician Oro Valley, AZ

Practice location

Address: 1521 E Tangerine Rd STE 161, Oro Valley, AZ 85755-6217
Phone: (520) 771-0288
Fax: (520) 771-0289
Mailing address: 2551 E Calle Sin Ruido, Tucson, AZ 85718-7337

Authorised official

Name: Michelle Goedken
Title: Owner/Physician
Phone: (269) 370-0510

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

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Allopathic & Osteopathic Physicians Taxonomy 207ND0101X

Registry record

NPI: 1417673112
Entity type: Organization
NPI issued: 13 Oct 2022
Record last updated: 13 Oct 2022

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.