Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angela Wyatt Dermatology, PC

Organization Dermatology Physician · NPI 1053640151

Angela Wyatt Dermatology, PC provides Dermatology Physician services in Flagstaff, Arizona. Licensed in Arizona. Registered with an NPI since 2009.

Licensed in
AZ
In the registry since
2009
Specialties on file
5
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

150 N Verde St Ste 101
Flagstaff, AZ 86001-5256
Phone: (928) 779-6923
Fax: (928) 779-6924
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 42581 (AZ)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 42581 (AZ)
Clinical & Laboratory Dermatological Immunology Physician Taxonomy 207NI0002X · Licence 42581 (AZ)
Pediatric Dermatology Physician Taxonomy 207NP0225X · Licence 42581 (AZ)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 42581 (AZ)

Record details

NPI number1053640151
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Wyatt — President · (928) 779-6923
NPI enumeratedDecember 18, 2009
Last updated in NPPESJanuary 15, 2019
Mailing address150 N Verde St, Suite 101, Flagstaff, AZ 86001-5256

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