Individual
BRYAN ROBERT UPDEGRAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14666 N DEL WEBB BLVD, SUN CITY, AZ 85351-2137
(623) 933-3107
(623) 972-1418
Mailing address
14666 N DEL WEBB BLVD, SUN CITY, AZ 85351-2137
(623) 933-3107
(623) 972-1418
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
10896
AZ
207KA0200X
Allergy Physician
10896
AZ
207N00000X
Dermatology Physician
10896
AZ
207ND0101X
MOHS-Micrographic Surgery Physician
10896
AZ
207ND0900X
Dermatopathology Physician
10896
AZ
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
Primary
10896
AZ
207NP0225X
Pediatric Dermatology Physician
10896
AZ
207NS0135X
Procedural Dermatology Physician
10896
AZ
Other
Enumeration date
09/09/2005
Last updated
11/14/2024
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