Atos Dermatopathology PLLC
Organization Active NPI Dermatopathology Physician · Maricopa, AZ
NPI 1508313602 · NPPES record last updated Sep 7, 2016
Key facts
- NPI
- 1508313602
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dermatopathology Physician 207ND0900X
- License
- 42919 (AZ)
- Legal business name
- ATOS DERMATOPATHOLOGY PLLC
- Practice address
- 21300 N John Wayne Pkwy
#116
Maricopa, AZ 85139-8979 - Phone
- (312) 502-9389
- NPI assigned
- Sep 7, 2016
- Organization subpart
- No
Authorized official
- Name
- Carlos Frederico Rodriguez, M.D.
- Title
- Owner
- Phone
- (312) 502-9389
National Provider Directory
Locations
7469 E Monte Cristo Ave
Scottsdale, AZ 85260
Phone (480) 306-5390
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology Physician |
207ND0900X | 42919 | AZ | Yes |
Addresses
Primary practice location
21300 N John Wayne Pkwy
#116
Maricopa, AZ 85139-8979
Mailing address
2349 E Becker LN
Phoenix, AZ 85028-3105
Phone (312) 502-9389
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 867831 | Medicaid | AZ |
Other names
- Advocate Dermatology
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.