NPI | 1659552560 |
---|---|
Other Name | SUNWEST DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | RICHARD ALLEN CIRELLI Owner 928-445-7546 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207NP0225X Dermatology Pediatric Dermatology |
207NS0135X Dermatology Procedural Dermatology (Licence: AZ AZ27370) | |
207NS0135X Dermatology Procedural Dermatology | |
Enumeration Date | 2007-11-19 |
Last Update Date | 2018-11-06 |