| NPI | 1982849691 |
|---|---|
| Doing Business As | GRAND CANYON DERMATOLOGY PLLC |
| Entity Type | Organization |
| Authorized Contact | HOWARD J DONSKY President 480-985-1093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2011-09-22 |