NPI | 1578068250 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROL ANNE PALMER Practice Manager 480-946-7939 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 35933) |
Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology (Licence: AZ 35933) |
Enumeration Date | 2018-03-26 |
Last Update Date | 2018-04-02 |