Mr. Mark A Meyers
Procedural Dermatology
30012 N Cave Creek Rd Ste 104
Cave Creek
, Arizona 85331-5833
Mr. Mark A Meyers
Procedural Dermatology
30012 N Cave Creek Rd Ste 104
Cave Creek
, Arizona 85331-5833
(928) 468-6658
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About
Features
Specialties
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Mr. Mark A Meyers
- 715 S Beeline Hwy Ste A
- Payson, AZ
- Zip : 85541-5344
- Fax : (928) 468-6658
- Phone : (928) 468-6607
Second Address
- Mr. Mark A Meyers
- 30012 N Cave Creek Rd Ste 104
- Cave Creek, AZ
- Zip : 85331-5833
- Phone : (480) 714-5614
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207NS0135X | Procedural Dermatology | 12450 | AZ |
National Provider Identifier
| NPI | 1518928878 |
|---|---|
| Provider Name | Mr. Mark A Meyers |
| First Address | Payson, AZ 85541-5344 |
| Second Address | Cave Creek, AZ 85331-5833 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/03/2006 |
| Last Update Date | 06/10/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 229965 | (05) | AZ |
| D12825 | (02) | AZ |
| Z131947 | (02) | AZ |
| Z183735 | (02) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.