Arizona Skin Institute, PC
Dermatology in Surprise, AZ. Organization (NPI-2).
NPI number1992105126
StatusActive
Last updated in NPPESJan 20, 2024
Details
- NPI
- 1992105126
- Entity type
- Organization (NPI-2)
- Legal business name
- Arizona Skin Institute, PC
- Organization subpart
- No
- Enumeration date
- Aug 25, 2014
- Certification date
- Jan 20, 2024
- Last updated
- Jan 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | – | – | Yes |
Other names
- Arizona Skin (Doing Business As)
Practice location
11340 W Bell Rd Ste 127Surprise, AZ 85378-9335
Phone 623-225-7546 · Fax 623-225-7548
Mailing address
11340 W Bell Rd Ste 127Surprise, AZ 85378-9335
Phone 623-225-7546 · Fax 623-225-7548
Other practice locations
825 S Watson Rd Ste 107
Buckeye, AZ 85326-3435
Buckeye, AZ 85326-3435
Phone 602-207-5460 · Fax 623-230-6814
Authorized official
Jay G Mehta
Ceo
6232257546
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