| NPI | 1811635642 |
|---|---|
| Doing Business As | DESERT SKIN CENTER |
| Entity Type | Organization |
| Authorized Contact | HA LE PHAM CEO 480-740-7426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2022-06-27 |