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

TaxonomyCodeLicense
Specialist Primary 174400000XNone 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.