Organization
DESERT DERMATOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE GOEDKEN DO (OWNER/PHYSICIAN)
(269) 370-0510
Entity
Organization
Contact information
Practice address
1521 E TANGERINE RD STE 161, ORO VALLEY, AZ 85755-6217
(520) 771-0288
(520) 771-0289
Mailing address
2551 E CALLE SIN RUIDO, TUCSON, AZ 85718-7337
(269) 370-0510
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110342
—
AZ
Enumeration date
10/13/2022
Last updated
10/13/2022
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