| NPI | 1407804115 |
|---|---|
| Doing Business As | AFFILIATED DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | MARLIE R AVERITTE Business Manager 480-556-0446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 30247) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2012-08-09 |