OrganizationActive
Desert Valley Dermatology PLC
NPI 1124739560 · MOHS-Micrographic Surgery Physician · Phoenix, AZ
Provider details
- NPI number
- 1124739560
- Entity type
- Organization
- Primary specialty
- MOHS-Micrographic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Travis Lam, Member(918) 625-4103
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3815 E Bell Rd Ste 3100
Phoenix, AZ 85032-2156
Phone: (918) 625-4103
Approximate (ZIP-level) locationGet directions
Mailing address
4636 E Lafayette Blvd
Phoenix, AZ 85018-3830
Registry dates
- Enumerated
- 2022-12-07
- Last updated
- 2023-03-01
- Certified
- 2023-03-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.