| NPI | 1396500799 |
|---|---|
| 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 | 207N00000X Dermatology |
| Additional Taxonomies | 208200000X Plastic Surgery |
| 2082S0105X Plastic Surgery, Surgery of the Hand | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery | |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2024-02-15 |