NPI 1437339470

Palm Canyon Dermatology, PC

Organisation Point of Service Yuma, AZ

Practice location

Address: 350 W Catalina Dr, Yuma, AZ 85364-8112
Phone: (928) 344-0650
Fax: (928) 344-3928

Authorised official

Name: Gregory Andrew Ertl
Title: President/Owner
Phone: (928) 344-0650

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 19732 (AZ)

Other Point of Service providers in Arizona →

Registry record

NPI: 1437339470
Entity type: Organization
NPI issued: 7 Nov 2007
Record last updated: 16 Nov 2007

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.