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VERNON T MACKEY PC NPI 1396959417


NPI Information

NPI: 1396959417
Provider Name: VERNON T MACKEY PC

Doing Business As: ADVANCED DESERT DERMATOLOGY

Classification: Dermatology - 207NS0135X
Entity Type: Organization

Specialization: Procedural Dermatology

Address:
9191 W THUNDERBIRD RD
SUITE D-101
PEORIA, AZ
ZIP 85381
Phone: (623) 977-6700
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VERNON T MACKEY PC is a procedural dermatology dermatology in Peoria, AZ. The provider is procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). VERNON T MACKEY PC NPI is 1396959417. 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
SUITE D-101
PEORIA, AZ
ZIP 85381-270
Phone: (623) 977-6700
Fax: (623) 977-6771

The provider's authorized official is Vernon T Mackey .
The authorized official title is Physician and has the following contact phone number (623) 977-6700.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 9/15/2023.


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
1207NS0135XDermatologyProcedural Dermatology3535ARIZONAYes

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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