Organization
DERMATOLOGY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN G BAUER M.D. (PRESIDENT)
(602) 866-3344
Entity
Organization
Contact information
Practice address
3201 W PEORIA AVE, SUITE C-600, PHOENIX, AZ 85029-4608
(602) 866-3344
(602) 375-2088
Mailing address
3201 W PEORIA AVE, SUITE C-600, PHOENIX, AZ 85029-4608
(602) 866-3344
(602) 375-2088
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
13703
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121777
HEALTHNET #
AZ
01
—
1700868833
INDIVIDUAL NPI #
AZ
01
—
AZ0051960
BCBS
AZ
Enumeration date
06/04/2007
Last updated
08/22/2020
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