Organization · Type 2 NPI

Az Dermatology

Specialist · Maricopa, AZ

NPI number 1962737965 Active

Practice location

21300 N John Wayne Pkwy, Suite 112
Maricopa, AZ 85139-8979

Fax (520) 374-2467

Mailing address

1821 N Trekell Rd, Suite 5
Casa Grande, AZ 85122-1705

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X36353 (AZ)

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.

13 other providers at this address

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About NPI 1962737965

Az Dermatology's National Provider Identifier is 1962737965, issued on Oct 8, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Maricopa, AZ. The record was last updated on Oct 8, 2009.