| NPI | 1558525824 |
|---|---|
| Former Legal Business Name | ALLERGY AND DERMATOLOGY SPECIALISTS, INC. |
| Entity Type | Organization |
| Authorized Contact | JAMES F PEHOUSHEK Physician 623-544-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207KA0200X Allergy & Immunology, Allergy | |
| 207N00000X Dermatology | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery | |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology | |
| 207NP0225X Dermatology, Pediatric Dermatology | |
| 207NS0135X Dermatology, Procedural Dermatology | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2019-06-27 |