NORTH VALLEY DERMATOLOGY LLC

PEORIA, AZ
NPI1184600884
Entity TypeOrganization
Authorized ContactMARY F FREDENBERG
Owner
623-215-0911
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: AZ  16095)
Enumeration Date2005-12-15
Last Update Date2011-09-12
Business Address
NORTH VALLEY DERMATOLOGY LLC
14155 N 83RD AVE SUITE 110
PEORIA, AZ 85381-5639
Phone number: 623-215-0911
Mailing Address
NORTH VALLEY DERMATOLOGY LLC
14155 N 83RD AVE SUITE 110
PEORIA, AZ 85381-5639
Phone number: 623-215-0911