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VERNON T MACKEY PC NPI 1003204975


NPI Information

NPI: 1003204975
Provider Name: VERNON T MACKEY, PC

Doing Business As: ADVANCED DESERT DERMATOLOGY

Classification: Dermatology - 207NI0002X
Entity Type: Organization

Specialization: Clinical & Laboratory Dermatological Immunology

Address:
9191 W THUNDERBIRD RD STE D101
PEORIA, AZ
ZIP 85381
Phone: (623) 977-6700
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VERNON T MACKEY, PC is a clinical and laboratory dermatological immunology dermatology in Peoria, AZ. The provider is a dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. VERNON T MACKEY, PC NPI is 1003204975. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Advanced Desert Dermatology.

The provider's business location address is:

9191 W THUNDERBIRD RD STE D101
PEORIA, AZ
ZIP 85381-270
Phone: (623) 977-6700
Fax: (623) 977-6771

The provider's authorized official is Shelly Mackey .
The authorized official title is Manager and has the following contact phone number (623) 977-6700.

The enumeration date for this NPI number is 12/31/2014 and was last updated on 12/31/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207NI0002XDermatologyClinical & Laboratory Dermatological Immunology3535ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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