Organization · Type 2 NPI

Omni Dermatology Tempe LLC

Specialist · Tempe, AZ

NPI number 1639611130 Active

Practice location

4515 S Mcclintock Dr, Ste 101
Tempe, AZ 85282-7376

Call (602) 559-5470 Map

Fax (602) 559-5471

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 1639611130

Omni Dermatology Tempe LLC's National Provider Identifier is 1639611130, issued on Nov 15, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tempe, AZ. The record was last updated on Nov 15, 2016.