National Provider Identifier Database

MEDICAL ARTS DERMATOLOGY PC
Specialist

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.


Contact Information

MEDICAL ARTS DERMATOLOGY PC
801 ENCINO PL NE
STE E6
ALBUQUERQUE, NM87102-2645
Phone: 505-299-4414
Fax: 505-299-4513
Website:
Specialty Taxonomy Code
* Specialist 174400000X

* Indicates primary specialty

NPI Profile & details for MEDICAL ARTS DERMATOLOGY PC

NPI Number 1962682195
Legal business name
LBN
MEDICAL ARTS DERMATOLOGY PC
Authorized official DONALD HARVILLE - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 11/05/2007
Last updated 09/04/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • NM License #: 6534

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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