EPIPHANY DERMATOLOGY OF ARIZONA, LLC

PEORIA, AZ
NPI1457465858
Entity TypeOrganization
Authorized ContactGHEORGHE PUSTA
CEO
512-628-0465
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2006-08-19
Last Update Date2023-12-07
Business Address
EPIPHANY DERMATOLOGY OF ARIZONA, LLC
7767 W DEER VALLEY RD SUITE 140
PEORIA, AZ 85382-2103
Phone number: 623-487-3003
Mailing Address
EPIPHANY DERMATOLOGY OF ARIZONA, LLC
7300 RANCH RD. 2222, BLDG 1, STE 200
AUSTIN, TX 78730
Phone number: 512-628-0465