| NPI | 1194792416 |
|---|---|
| Doing Business As | ARIZONA DERMATOLOGY |
| Doing Business As | MOSHARRAFA PLASTIC SURGERY |
| Doing Business As | J ROBERT WEST, MD INC. |
| Doing Business As | ENGLISH DERMATOLOGY |
| Doing Business As | SKIN SCIENCE |
| Doing Business As | CAMELBACK DERMATOLOGY & SKIN SURGERY |
| Entity Type | Organization |
| Authorized Contact | GARY ANTHONY MCCRACKEN Medical Director 480-905-8485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 36909) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: AZ 45164) |
| 207ND0900X Dermatology, Dermatopathology (Licence: AZ 48145) | |
| Enumeration Date | 2006-03-06 |
| Last Update Date | 2023-07-24 |