Ahwatukee Skin & Laser LLC
Dermatology, Dermatopathology in Phoenix, Arizona
1407167596- Practice location
- 4425 E Agave RD, Suite 148, Phoenix, AZ 85044-0619
- Phone
- 480-704-7546
- Fax
- —
- Last updated
- August 14, 2010
Ahwatukee Skin & Laser LLC is a healthcare organization based in Phoenix, AZ. The NPI number for Ahwatukee Skin & Laser LLC is 1407167596 and holds license No. 15963 (AZ). The current practice location address is 4425 E Agave RD, Suite 148, Phoenix, AZ 85044-0619 and the office can be reached by phone at 480-704-7546. The NPI was assigned on June 23, 2010 and the record was last updated in NPPES on August 14, 2010.
●Provider Profile Details
- NPI Number
- 1407167596
- Provider Name
- Ahwatukee Skin & Laser LLC
- Entity Type
- Organization (Type 2 NPI)
- Primary Taxonomy
- Dermatology, Dermatopathology · 207ND0900X
- Organization Subpart
- No
- Authorized Official
- Sarah E Neumann, PA-C · Manager, Provider · 480-704-7546
- Enumeration Date
- June 23, 2010
- Last Update Date
- August 14, 2010
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 4425 E Agave RD
Suite 148
Phoenix, AZ 85044-0619 - City
- Phoenix
- State
- Arizona
- ZIP
- 85044-0619
- Country
- US
- Phone Number
- 480-704-7546
✉Business Mailing Address
- 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
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Dermatology, Dermatopathology 193400000X - Single Specialty Group | 207ND0900X | Yes | 15963 | AZ |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Phoenix →?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) and holds license No. 15963 (AZ).
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 at npiregistry.cms.hhs.gov.