| NPI | 1609185347 |
|---|---|
| Doing Business As | SOUTHWEST SKIN SPECIALISTS, LTD / |
| Entity Type | Organization |
| Authorized Contact | HOWARD J. LUBER Medical Director 602-494-1817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: AZ 98010735) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2018-12-11 |