Physician Skin Solutions
Dermatology in Glendale, AZ. Organization (NPI-2).
NPI number1225416456
StatusActive
Last updated in NPPESMay 7, 2015
Details
- NPI
- 1225416456
- Entity type
- Organization (NPI-2)
- Legal business name
- Physician Skin Solutions
- Organization subpart
- No
- Enumeration date
- May 7, 2015
- Last updated
- May 7, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 04-805 | AZ | Yes |
Other names
- Physician Skin At Arrowhead (Doing Business As)
Practice location
18275 N 59th AveSuite C-116
Glendale, AZ 85308-1260
Phone 602-843-4040 · Fax 602-843-4077
Mailing address
18275 N 59th AveSuite C-116
Glendale, AZ 85308-1260
Phone 602-843-4040 · Fax 602-843-4077
Authorized official
Shannon Leah Maltais
Ceo/Medical Director
6028434040
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