| NPI | 1609078997 |
|---|---|
| Doing Business As | PHOENIX SKIN MEDICAL SURGICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | LEE P LARIS Physician 602-222-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2023-12-12 |