OrganizationActive
Innovative Dermatology Alliance Az, PC
NPI 1215559471 · Dermatology Physician · Wickenburg, AZ
Provider details
- NPI number
- 1215559471
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christopher Rex, Owner(904) 994-4533
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
390 Bralliar Rd
Wickenburg, AZ 85390
Phone: (602) 971-0268
Approximate (ZIP-level) locationGet directions
Mailing address
3318 W Lucia Dr
Phoenix, AZ 85083-5884
Registry dates
- Enumerated
- 2020-05-11
- Last updated
- 2023-11-27
- Certified
- 2020-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.