Innovative Dermatology Alliance Az, PC
Innovative Dermatology Alliance Az, PC provides Dermatology Physician services in Wickenburg, Arizona. Registered with an NPI since 2020.
- In the registry since
- 2020
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
390 Bralliar RdWickenburg, AZ 85390
Phone: (602) 971-0268
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|
Record details
| NPI number | 1215559471 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Christopher Rex — Owner · (904) 994-4533 |
| NPI enumerated | May 11, 2020 |
| Last updated in NPPES | November 27, 2023 |
| Certification date | May 11, 2020 |
| Mailing address | 3318 W Lucia Dr, Phoenix, AZ 85083-5884 |