Organization
RED MOUNTAIN DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN K BINGHAM (OWNER/MANAGING MEMBER)
(480) 250-4730
Entity
Organization
Contact information
Practice address
13657 W MCDOWELL RD STE 207, GOODYEAR, AZ 85395-2603
(602) 815-5358
Mailing address
2753 E BROADWAY RD # 101-436, MESA, AZ 85204-1579
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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