| NPI | 1255196655 | 
|---|---|
| Doing Business As | ARIZONA DERMATOLOGY GROUP, A FOREFRONT DERMATOLOGY PRACTICE | 
| Entity Type | Organization | 
| Authorized Contact | BETSY J WERNLI President 920-482-0671 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology | 
| Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology | 
| Enumeration Date | 2024-02-15 | 
| Last Update Date | 2024-02-15 |