| NPI | 1295665446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN HARRIS Owner 480-461-9822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2026-05-20 |
| Last Update Date | 2026-05-20 |