INNOVATIVE DERMATOLOGY ALLIANCE AZ, PC
NPI 1215559471
Dermatology in Wickenburg, AZ

Active since May 11, 2020
390 BRALLIAR RD, WICKENBURG, AZ 85390(602) 971-0268 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Innovative Dermatology Alliance Az, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATIVE DERMATOLOGY ALLIANCE AZ, PC (NPI 1215559471) is a healthcare organization registered as a dermatology in Wickenburg, Arizona and active in the NPI registry since May 2020. The organization lists Christopher U Rex, Owner, as its authorized official.

NPPES Registry Identity

NPI1215559471
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameINNOVATIVE DERMATOLOGY ALLIANCE AZ, PC
Location Address390 BRALLIAR RDWickenburg, AZ 85390
Mailing Address3318 W Lucia DrPhoenix, AZ 85083-5884
Organization SubpartNo
Authorized OfficialChristopher U RexOwner · (904) 994-4533
Enumeration DateMay 11, 2020
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedMay 11, 2020
NPI 1215559471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

390 BRALLIAR RD, Wickenburg, AZ 85390

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovative Dermatology Alliance Az, PC's NPI number?

The NPI number for Innovative Dermatology Alliance Az, PC is 1215559471. It was assigned to this organization in the NPPES registry on May 11, 2020.

Where is Innovative Dermatology Alliance Az, PC located?

Innovative Dermatology Alliance Az, PC is located at 390 Bralliar Rd, Wickenburg, AZ 85390. The listed phone number is (602) 971-0268.

What is Innovative Dermatology Alliance Az, PC's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Innovative Dermatology Alliance Az, PC was last updated on November 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.