NPI | 1578727947 |
---|---|
Former Legal Business Name | ALLERGY AND DERMATOLOGY SPECIALISTS, INC. |
Entity Type | Organization |
Authorized Contact | JAMES F PEHOUSHEK Physician/Owner 623-376-7600 |
Organization Subpart ? | No |
Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology |
Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology |
207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology | |
207NP0225X Dermatology, Pediatric Dermatology | |
207K00000X Allergy & Immunology | |
207KA0200X Allergy & Immunology, Allergy | |
207N00000X Dermatology | |
207ND0101X Dermatology, MOHS-Micrographic Surgery | |
Enumeration Date | 2008-07-15 |
Last Update Date | 2019-08-05 |