| NPI | 1831606144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIMONE M JUHL Practice Administrator 602-565-8830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: AZ 16208) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2018-09-13 |