Organization
EAST VALLEY DERMATOLOGY RX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ANN DAVIS (OFFICE MANAGER)
(480) 821-8888
Entity
Organization
Contact information
Practice address
1100 S DOBSON RD, #223, CHANDLER, AZ 85286-6157
(480) 821-8888
(480) 821-0888
Mailing address
1100 S DOBSON RD, #223, CHANDLER, AZ 85286-6157
(480) 821-8888
(480) 821-0888
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
26816
AZ
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
11/04/2014
Last updated
10/29/2019
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