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Contact Information

VALLEY DERMATOLOGY PLLC
5702 W GLENDALE AVE
GLENDALE, AZ85301-2556
 Phone: 623-937-8969
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Health Service

261QH0100X
Indicates primary specialty

NPI Profile & details for VALLEY DERMATOLOGY PLLC · (Female)

NPI # 1578360665
Status Active
Credentials
Entity Individual
Enumeration date 02/26/2025
Last updated 03/03/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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