Dermatology Center of Yuma Pllc

NPI #1346420577 in Yuma, Arizona

Provider Information

NPI Number: 1346420577
Entity Type: Organization
Organization Name: Dermatology Center of Yuma Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: DERMATOLOGY CENTER OF YUMA PLLC
Primary Specialty: Specialist
Enumeration Date: Nov 5, 2007
Last Updated: Mar 24, 2009

Practice Location

Address: 2270 S RIDGEVIEW DR
Address 2: STE 302
City: Yuma
State: Arizona
ZIP Code: 85364
Phone: (928) 783-0169

Authorized Official

Name: MARY ELLEN JOAN LUCHETTI, M.D.
Title: PRESIDENT
Phone: (928) 329-4761

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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