| NPI | 1558216093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD FAZEL Md/Co Owner 520-261-5205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2026-03-02 |
| Last Update Date | 2026-08-11 |