OMNI DERMATOLOGY TEMPE LLC

TEMPE, AZ
NPI1639611130
Entity TypeOrganization
Authorized ContactANDREW JOSEPH RACETTE
President
602-559-9961
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
Enumeration Date2016-11-15
Last Update Date2016-11-15
Business Address
OMNI DERMATOLOGY TEMPE LLC
4515 S MCCLINTOCK DR STE 101
TEMPE, AZ 85282-7376
Phone number: 602-559-5470
Mailing Address
OMNI DERMATOLOGY TEMPE LLC
4840 E INDIAN SCHOOL RD STE 102
PHOENIX, AZ 85018-5500
Phone number: 602-559-9961
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