Organization
RED MOUNTAIN DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN KIRK BINGHAM (OWNER)
(480) 625-4538
Entity
Organization
Contact information
Practice address
1611 E WARNER RD STE 5, TEMPE, AZ 85284-4550
(480) 454-3561
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
02/15/2024
Last updated
02/15/2024
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