Innovative Dermatology Alliance Az, PC

NPI #1215559471 in Wickenburg, Arizona

Provider Information

NPI Number: 1215559471
Entity Type: Organization
Organization Name: Innovative Dermatology Alliance Az, PC
Primary Specialty: Dermatology
Enumeration Date: May 11, 2020
Last Updated: Nov 27, 2023

Practice Location

Address: 390 BRALLIAR RD
City: Wickenburg
State: Arizona
ZIP Code: 85390
Phone: (602) 971-0268

Authorized Official

Name: CHRISTOPHER U REX, MD
Title: OWNER
Phone: (904) 994-4533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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