All Dermatology, INC.
Dermatology, Dermatopathology in Glendale, AZ. Organization (NPI-2).
NPI number1578727947
StatusActive
Last updated in NPPESAug 5, 2019
Details
- NPI
- 1578727947
- Entity type
- Organization (NPI-2)
- Legal business name
- All Dermatology, INC.
- Organization subpart
- No
- Enumeration date
- Jul 15, 2008
- Last updated
- Aug 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ND0900X | Dermatology, Dermatopathology | – | – | Yes |
| 207NS0135X | Dermatology, Procedural Dermatology | – | – | |
| 207NI0002X | Dermatology, Clinical & Laboratory Dermatological Immunology | – | – | |
| 207NP0225X | Dermatology, Pediatric Dermatology | – | – | |
| 207K00000X | Allergy & Immunology | – | – | |
| 207KA0200X | Allergy & Immunology, Allergy | – | – | |
| 207N00000X | Dermatology | – | – | |
| 207ND0101X | Dermatology, MOHS-Micrographic Surgery | – | – |
Other names
- Allergy And Dermatology Specialists, INC. (Former Legal Business Name)
Practice location
6320a W Union Hills DrSuite 210
Glendale, AZ 85308-7177
Phone 623-376-7600 · Fax 623-376-0229
Mailing address
14239 W Bell RdSuite 101
Suprise, AZ 85374-2469
Phone 623-544-7755 · Fax 623-544-8665
Authorized official
James F Pehoushek
Physician/Owner
6233767600
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