Organization · Type 2 NPI
Omni Dermatology Estrella LLC
Specialist · Phoenix, AZ
NPI number
1225570732
Active
Practice location
9305 W Thomas Rd, Ste 350
Phoenix, AZ 85037-3328
Fax (623) 478-8003
Mailing address
4840 E Indian School Rd, Ste 102
Phoenix, AZ 85018-5500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1225570732
Omni Dermatology Estrella LLC's National Provider Identifier is 1225570732, issued on Nov 15, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Phoenix, AZ. The record was last updated on Nov 15, 2016.