Active NPIOrganization

Ahwatukee Skin & Laser LLC

Dermatology, Dermatopathology in Phoenix, Arizona

NPI Number1407167596
Practice location
4425 E Agave RD, Suite 148, Phoenix, AZ 85044-0619
Fax
—
Last updated
August 14, 2010

Ahwatukee Skin & Laser LLC is a healthcare organization based in Phoenix, AZ. Ahwatukee Skin & Laser LLC practices in Phoenix, AZ. The NPI Number for Ahwatukee Skin & Laser LLC is 1407167596 and holds a License No. 15963 (AZ). The current practice location address for Ahwatukee Skin & Laser LLC is 4425 E Agave RD, Suite 148, Phoenix, AZ 85044-0619 and can be reached out via phone at 480-704-7546.

Provider Profile Details

NPI Number
1407167596
Provider Name
Ahwatukee Skin & Laser LLC
Provider Entity Type
Organization
Address
4425 E Agave RD, Suite 148, Phoenix, AZ 85044-0619
Phone Number
480-704-7546
Primary Taxonomy
Dermatology, Dermatopathology · 207ND0900X
Organization Subpart
No
Authorized Official
Sarah E Neumann, PA-C · Manager, Provider · 480-704-7546
Provider Enumeration Date
June 23, 2010
Last Update Date
August 14, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
4425 E Agave RD
Suite 148
Phoenix, AZ 85044-0619
State
Arizona
Zip
85044-0619
Phone Number
480-704-7546
Phoenix, AZ 85044Get directions →

Provider Business Mailing Address Details

Address
4425 E Agave RD
Suite 148
Phoenix, AZ 85044-0619
City
Phoenix
State
AZ
Zip
85044-0619
Phone Number
480-704-7546
Fax Number
480-704-7549

License Information

License Number
15963
License State
AZ
Taxonomy
Dermatology, Dermatopathology · 207ND0900X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ahwatukee Skin & Laser LLC?

The NPI number of Ahwatukee Skin & Laser LLC is 1407167596. It was assigned on June 23, 2010 and is currently active in the NPPES registry.

What is the specialty of Ahwatukee Skin & Laser LLC?

Ahwatukee Skin & Laser LLC is registered under the primary taxonomy Dermatology, Dermatopathology (code 207ND0900X), licensed in AZ under license number 15963.

Where does Ahwatukee Skin & Laser LLC practice?

The practice location is 4425 E Agave RD, Suite 148, Phoenix, AZ 85044-0619. The office can be reached at 480-704-7546 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407167596 directly on the NPPES registry website.

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