# VERNON T MACKEY, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Desert Dermatology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003204975
- **Authorized official:** SHELLY MACKEY (MANAGER)
- **Authorized official phone:** (623) 977-6700

## Contact information

- **Practice address:** 9191 W THUNDERBIRD RD STE D101, PEORIA, AZ 85381-4270
- **Practice address phone:** (623) 977-6700
- **Practice address fax:** (623) 977-6771
- **Mailing address:** 9191 W THUNDERBIRD RD STE D101, PEORIA, AZ 85381-4270
- **Mailing address phone:** (623) 977-6700
- **Mailing address fax:** (623) 977-6771

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207NI0002X | Clinical & Laboratory Dermatological Immunology Physician | 3535 | AZ | Yes |

## Other

- **Enumeration date:** 12/31/2014
- **Last updated:** 12/31/2014