| Dermatology Solutions Llc | |
|
4915 E Baseline Rd Building 9 Suite 124 Gilbert AZ 85234-2965 | |
| (480) 832-2213 | |
| (480) 832-2077 |
| Full Name | Dermatology Solutions Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4915 E Baseline Rd, Gilbert, Arizona |
| Authorized Official Name and Position | Xuan H Nguyen (MEMBER) |
| Authorized Official Contact | 4808322213 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dermatology Solutions Llc 4915 E Baseline Rd Building 9 Suite 124 Gilbert AZ 85234-2965 Ph: (480) 832-2213 | Dermatology Solutions Llc 4915 E Baseline Rd Building 9 Suite 124 Gilbert AZ 85234-2965 Ph: (480) 832-2213 |
| NPI Number | 1083023493 |
|---|---|
| Provider Enumeration Date | 08/11/2014 |
| Last Update Date | 06/20/2018 |
| Medicare PECOS PAC ID | 6901127018 |
|---|---|
| Medicare Enrollment ID | O20150601002825 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083023493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Xuan H Nguyen |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1093827362 PECOS PAC ID: 6406959329 Enrollment ID: I20070314000438 |
| Provider Name | David I Andrews |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1073860920 PECOS PAC ID: 7113240615 Enrollment ID: I20170825001770 |
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