| NPI | 1841073723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ALBERTSON Billing Specialist 480-658-2356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2023-08-15 |
| Last Update Date | 2023-11-13 |