NPI | 1245659432 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL E ENGLISH CEO Owner 480-706-6580 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery |
261Q00000X Clinic/Center (Licence: AZ 19375) | |
Enumeration Date | 2014-04-15 |
Last Update Date | 2023-07-19 |