| NPI | 1750800033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANA ADAMS Practice Manager 480-276-7955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 006585) |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: AZ 006585) |
| 207ND0900X Dermatology Dermatopathology (Licence: AZ 006585) | |
| 207NS0135X Dermatology Procedural Dermatology (Licence: AZ 006585) | |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2024-03-15 |