Arizona Skin & Dermatology, P.C.
Dermatology in Glendale, AZ. Organization (NPI-2).
NPI number1619378098
StatusActive
Last updated in NPPESJan 23, 2015
Details
- NPI
- 1619378098
- Entity type
- Organization (NPI-2)
- Legal business name
- Arizona Skin & Dermatology, P.C.
- Organization subpart
- No
- Enumeration date
- Sep 4, 2014
- Last updated
- Jan 23, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
| 207R00000X | Internal Medicine | – | – | |
| 2085R0204X | Radiology, Vascular & Interventional Radiology | – | – |
Practice location
7200 W Bell RdSuite E103
Glendale, AZ 85308-8529
Phone 602-529-4700 · Fax 602-529-4699
Mailing address
8380 W Emile Zola AveSuite 5116
Peoria, AZ 85381-4811
Phone 602-529-4700 · Fax 602-529-4699
Authorized official
Manntej Sra
Ceo
6025294700
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