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RICHARD LEE AVERITTE JR PLLC NPI 1609291848


NPI Information

NPI: 1609291848
Provider Name: RICHARD LEE AVERITTE JR PLLC

Doing Business As: AFFILIATED DERMATOLOGY

Classification: Dermatology - 207N00000X
Entity Type: Organization

CLIA Number: 03D2168294

Address:
19646 N 27TH AVE
STE 305
PHOENIX, AZ
ZIP 85027
Phone: (480) 556-0446
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RICHARD LEE AVERITTE JR PLLC is a dermatology in Phoenix, AZ. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. RICHARD LEE AVERITTE JR PLLC NPI is 1609291848. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Affiliated Dermatology.

The provider's business location address is:

19646 N 27TH AVE
STE 305
PHOENIX, AZ
ZIP 85027-017
Phone: (480) 556-0446

The provider's authorized official is Marlie Averitte .
The authorized official title is Cfo and has the following contact phone number (480) 556-0446.

The CLIA number assigned to this NPI record is 03D2168294 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/25/2014 and was last updated on 2/25/2014.


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
1207ND0101XDermatologyMOHS-Micrographic Surgery40537ARIZONANo
2207ND0900XDermatologyDermatopathology40537ARIZONANo
3207NI0002XDermatologyClinical & Laboratory Dermatological Immunology40537ARIZONANo
4207NP0225XDermatologyPediatric Dermatology40537ARIZONANo
5207NS0135XDermatologyProcedural Dermatology40537ARIZONANo
6207N00000XDermatology40537ARIZONAYes

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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