NPI 1457465858

Epiphany Dermatology of Arizona, LLC

Organisation Dermatology Physician Peoria, AZ

Practice location

Address: 7767 W Deer Valley Rd Suite 140, Peoria, AZ 85382-2103
Phone: (623) 487-3003
Fax: (623) 487-0952
Mailing address: 7300 Ranch Rd. 2222, Bldg 1, STE 200, Austin, TX 78730

Authorised official

Name: Gheorghe Pusta
Title: Ceo
Phone: (512) 628-0465

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Arizona →

Registry record

NPI: 1457465858
Entity type: Organization
NPI issued: 19 Aug 2006
Record last updated: 7 Dec 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.