Organization
MARK A MEYERS
Active
Other names
New Leaf Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A MEYERS MD (OWNER)
(928) 468-6607
Entity
Organization
Contact information
Practice address
715 S BEELINE HWY STE A, PAYSON, AZ 85541-5344
(928) 468-6607
(928) 468-6658
Mailing address
715 S BEELINE HWY STE A, PAYSON, AZ 85541-5344
(928) 468-6607
(928) 468-6658
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
229965
—
AZ
Enumeration date
03/29/2019
Last updated
03/29/2019
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