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1770519019
ARIZONA SKIN AND LASER THERAPY INSTITUTE, LTD
PHOENIX, AZ
NPI
1770519019
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Entity Type
Organization
Authorized Contact
NEIL P SUPERFON
Owner/Physician
602-277-1449
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2006-06-25
Last Update Date
2008-01-11
Business Address
ARIZONA SKIN AND LASER THERAPY INSTITUTE, LTD
4232 E CACTUS RD SUITE 100
PHOENIX, AZ 85032-7602
Phone number: 602-996-3050
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Mailing Address
ARIZONA SKIN AND LASER THERAPY INSTITUTE, LTD
2224 W NORTHERN AVE D 300
PHOENIX, AZ 85021-4928
Phone number: 602-277-1449
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