Prescott Medical and Dermatology Group

NPI #1841929908 in Prescott, Arizona

Provider Information

NPI Number: 1841929908
Entity Type: Organization
Organization Name: Prescott Medical and Dermatology Group
Primary Specialty: Dermatology
Enumeration Date: Jun 6, 2022
Last Updated: Nov 10, 2025

Practice Location

Address: 810 AINSWORTH DR
City: Prescott
State: Arizona
ZIP Code: 86301-1612
Phone: (928) 515-1155

Authorized Official

Name: BURT I FAIBISOFF, MD
Title: PHYSICIAN/OWNER
Phone: (602) 476-4074

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Plastic Surgery	208200000X
Dermatology	207N00000X	Primary

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