North Valley Dermatology LLC

NPI #1184600884 in Peoria, Arizona

Provider Information

NPI Number: 1184600884
Entity Type: Organization
Organization Name: North Valley Dermatology LLC
Primary Specialty: Dermatology
Enumeration Date: Dec 15, 2005
Last Updated: Sep 12, 2011

Practice Location

Address: 14155 N 83RD AVE
Address 2: SUITE 110
City: Peoria
State: Arizona
ZIP Code: 85381-5639
Phone: (623) 215-0911

Authorized Official

Name: MRS. MARY F FREDENBERG, MD
Title: OWNER
Phone: (623) 215-0911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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