Provider Demographics
NPI:1487645123
Name:BILL H. HALMI MD, PC
Entity Type:Organization
Organization Name:BILL H. HALMI MD, PC
Other - Org Name:ARIZONA ADVANCED DERMATOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BILL
Authorized Official - Middle Name:H
Authorized Official - Last Name:HALMI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-264-9044
Mailing Address - Street 1:740 E HIGHLAND AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-3649
Mailing Address - Country:US
Mailing Address - Phone:602-264-9044
Mailing Address - Fax:602-264-0057
Practice Address - Street 1:740 E HIGHLAND AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-3649
Practice Address - Country:US
Practice Address - Phone:602-264-9044
Practice Address - Fax:602-264-0057
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ22591174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZWDBWYMedicare ID - Type UnspecifiedGROUP NUMBER