NPI 1578360665
Valley Dermatology PLLC
Practice location
- Address
- 5702 W Glendale Ave, Glendale, AZ 85301-2556
- Phone
- (623) 937-8969
- Mailing address
- PO Box 94765, Phoenix, AZ 85070-4765
Authorised official
- Name
- Kyle Sanniec
- Title
- Manager
- Phone
- (602) 376-8638
Registered specialties (2)
Dermatology Physician
Primary
Health Service Clinic/Center
Registry record
- NPI
- 1578360665
- Entity type
- Organization
- NPI issued
- 26 Feb 2025
- Record last updated
- 3 Mar 2025
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.