Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Angela Wyatt Dermatology, PC

Organization Dermatology Physician · NPI 1053640151

Angela Wyatt Dermatology, PC is a Dermatology Physician in Flagstaff, Arizona. Licensed in Arizona. Registered with an NPI since 2009.

Licensed in
AZ
In the registry since
2009
Specialties on file
5
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

150 N Verde St Ste 101
Flagstaff, AZ 86001-5256
Phone: (928) 779-6923
Fax: (928) 779-6924
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 42581 (AZ)
Dermatopathology Physician Taxonomy 207ND0900X · Licence 42581 (AZ)
Clinical & Laboratory Dermatological Immunology Physician Taxonomy 207NI0002X · Licence 42581 (AZ)
Pediatric Dermatology Physician Taxonomy 207NP0225X · Licence 42581 (AZ)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence 42581 (AZ)

Record details

NPI number1053640151
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Wyatt — President · (928) 779-6923
NPI enumeratedDecember 18, 2009
Last updated in NPPESJanuary 15, 2019
Mailing address150 N Verde St, Suite 101, Flagstaff, AZ 86001-5256

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