OrganizationActive
Angela Wyatt Dermatology, P.C.
NPI 1053640151 · Dermatology Physician · Flagstaff, AZ
Provider details
- NPI number
- 1053640151
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Angela Wyatt, President(928) 779-6923
- License
- 42581 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
150 N Verde St
Suite 101
Flagstaff, AZ 86001-5256
Phone: (928) 779-6923
Fax: (928) 779-6924
Approximate (ZIP-level) locationGet directions
Mailing address
150 N Verde St
Flagstaff, AZ 86001-5256
Registry dates
- Enumerated
- 2009-12-18
- Last updated
- 2019-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.