| NPI | 1427428416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN M FLECK Owner/Sole Member 928-778-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: AZ 31062) |
| Enumeration Date | 2015-10-02 |
| Last Update Date | 2015-10-02 |