KENNETH STEPHEN BISTRICKY

PHOENIX, AZ
NPI1093806762
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207N00000X Dermatology
(Licence: AZ  8807)
Enumeration Date2006-09-27
Last Update Date2007-07-08
Business Address
DR. KENNETH STEPHEN BISTRICKY M.D.
650 E INDIAN SCHOOL RD
PHOENIX, AZ 85012-1839
Phone number: 602-277-5551
Mailing Address
DR. KENNETH STEPHEN BISTRICKY M.D.
3391 E. CULLUMBER STREET
GILBERT, AZ 85234
Phone number: 602-277-5551
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