Whalio Doctors

NPI 1912912361

Premier Dermatology & Skin Renewal Center

Organisation Clinical & Laboratory Dermatological Immunology Physician Bentonville, AR

Practice location

Address
909 SE 28th St STE 5, Bentonville, AR 72712-3880
Phone
(479) 273-3376
Fax
(479) 273-3468

Authorised official

Name
Jeff Clifton
Title
Coo
Phone
(479) 273-3376

Registered specialties (4)

Clinical & Laboratory Dermatological Immunology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207NI0002X
Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence E3363 (AR)
Pediatric Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207NP0225X Licence E3363 (AR)
Procedural Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207NS0135X Licence E3363 (AR)

Registry record

NPI
1912912361
Entity type
Organization
NPI issued
31 Jul 2006
Record last updated
11 Sep 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.