ACTINODERMATOLOGY LTD

TEMPE, AZ
NPI1063695252
Entity TypeOrganization
Authorized ContactJERRY A PONITCH
President
480-839-1767
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: AZ  7979)
Enumeration Date2007-12-11
Last Update Date2010-04-01
Business Address
ACTINODERMATOLOGY LTD
2600 E SOUTHERN AVE #A-2
TEMPE, AZ 85282-7610
Phone number: 480-839-1767
Mailing Address
ACTINODERMATOLOGY LTD
2600 E SOUTHERN AVE #A-2
TEMPE, AZ 85282-7610
Phone number: 480-839-1767
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