Organization
SPECTRUM DERMATOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY HAGEUNG KIM M.D. (OWNER)
(480) 948-8400
Entity
Organization
Contact information
Practice address
9500 E IRONWOOD SQUARE DR STE 110, SCOTTSDALE, AZ 85258-4582
(480) 948-8400
(480) 948-8401
Mailing address
9500 E IRONWOOD SQUARE DR STE 110, SCOTTSDALE, AZ 85258-4582
(480) 948-8400
(480) 948-8401
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
41487
AZ
332900000X
Non-Pharmacy Dispensing Site
—
—
Other
Enumeration date
06/02/2011
Last updated
07/21/2022
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