MEDICAL ARTS DERMATOLOGY PC NPI 1962682195

NPI Information

MEDICAL ARTS DERMATOLOGY PC is a specialist in Albuquerque, NM. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MEDICAL ARTS DERMATOLOGY PC NPI is 1962682195. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

801 ENCINO PL NE
STE E6
ALBUQUERQUE, NM
ZIP 87102-645
Phone: (505) 299-4414
Fax: (505) 299-4513

The provider's authorized official is Donald D. Harville .
The authorized official title is President and has the following contact phone number (505) 299-4414.

The enumeration date for this NPI number is 11/5/2007 and was last updated on 9/4/2014.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.