| NPI | 1962684530 |
|---|---|
| Other Name | PARADISE VALLEY DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | MARK A BLAIR Owner 602-971-0950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ 32353) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2007-12-11 |