| NPI | 1619428851 |
|---|---|
| Doing Business As | AFFILIATED DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | MARLIE AVERITTE CFO 480-556-0446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: AZ 34857) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |