Organization
FOX DERMATOLOGY AND AESTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CARLIE FOX PA-C (PA-C/OWNER)
(480) 516-7552
Entity
Organization
Contact information
Practice address
3514 N POWER RD STE 123, MESA, AZ 85215-2909
(480) 319-9500
(480) 319-9599
Mailing address
3514 N POWER RD STE 123, MESA, AZ 85215-2909
(480) 319-9500
(480) 319-9599
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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