| NPI | 1992061162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES O BARLOW Owner/Member 602-793-8411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 29708) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: AZ 29708) |
| Enumeration Date | 2012-04-02 |
| Last Update Date | 2012-09-04 |