OMNI DERMATOLOGY ESTRELLA LLC

PHOENIX, AZ
NPI1225570732
Entity TypeOrganization
Authorized ContactANDREW JOSEPH RACETTE
President
602-954-3919
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
Enumeration Date2016-11-15
Last Update Date2016-11-15
Business Address
OMNI DERMATOLOGY ESTRELLA LLC
9305 W THOMAS RD STE 350
PHOENIX, AZ 85037-3328
Phone number: 623-478-8000
Mailing Address
OMNI DERMATOLOGY ESTRELLA LLC
4840 E INDIAN SCHOOL RD STE 102
PHOENIX, AZ 85018-5500
Phone number: 602-954-3919