| NPI | 1568833994 |
|---|---|
| Doing Business As | PHOENIX DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | GLENN KEVIN YARBROUGH Owner / President 480-945-6356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AZ AZ15963) |
| Enumeration Date | 2015-10-12 |
| Last Update Date | 2015-11-02 |