DERMATOLOGY CENTER OF YUMA PLLC; NPI #1346420577

Contact Information

DERMATOLOGY CENTER OF YUMA PLLC

2270 S RIDGEVIEW DR
STE 302
YUMA, AZ 85364

Phone: 928-783-0169
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Specialist	174400000X

Indicates primary specialty

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NPI Profile & details for DERMATOLOGY CENTER OF YUMA PLLC

NPI # 1346420577

LBN Legal business name DERMATOLOGY CENTER OF YUMA PLLC

Authorized official MARY ELLEN LUCHETTI - (PRESIDENT)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 11/05/2007

Last updated 03/24/2009 - About 17 years ago

Identifiers

AZ	License #	28963
GA	License #	044009

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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