| NPI | 1184681132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BURRELL HARVEY WOLK President Md Medical Director 480-899-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 10131) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2021-08-11 |