NPI | 1407167596 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH E NEUMANN Manager, Provider 480-704-7546 |
Organization Subpart ? | No |
Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: AZ 15963) |
Enumeration Date | 2010-06-23 |
Last Update Date | 2010-08-14 |