| 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 |