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1124739560
DESERT VALLEY DERMATOLOGY PLC
PHOENIX, AZ
NPI
1124739560
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Entity Type
Organization
Authorized Contact
TRAVIS LAM
Member
918-625-4103
Organization Subpart ?
No
Primary Taxonomy
207ND0101X Dermatology, MOHS-Micrographic Surgery
Enumeration Date
2022-12-07
Last Update Date
2023-03-01
Business Address
DESERT VALLEY DERMATOLOGY PLC
3815 E BELL RD STE 3100
PHOENIX, AZ 85032-2156
Phone number: 918-625-4103
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Mailing Address
DESERT VALLEY DERMATOLOGY PLC
4636 E LAFAYETTE BLVD
PHOENIX, AZ 85018-3830
Phone number: 918-625-4103
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