| NPI | 1376859066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH A JOHNSON President 480-585-7474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2010-08-19 |