Organization
PREMIER DERMATOLOGY SERVICES PLLC
Active
Other names
Premier Dermatology & Aesthetics
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARA FAST (PRACTICE DIRECTOR)
(479) 876-8501
Entity
Organization
Contact information
Practice address
901 SE PLAZA AVE STE 5, BENTONVILLE, AR 72712-5473
(479) 273-3376
(479) 273-3468
Mailing address
901 SE PLAZA AVE STE 5, BENTONVILLE, AR 72712-5473
(479) 273-3376
(479) 273-3468
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
08/13/2025
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