NPI | 1003204975 |
---|---|
Doing Business As | ADVANCED DESERT DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | SHELLY MACKEY Manager 623-977-6700 |
Organization Subpart ? | No |
Primary Taxonomy | 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: AZ 3535) |
Enumeration Date | 2014-12-31 |
Last Update Date | 2014-12-31 |