Organization
ARIZONA SKIN AND LASER THERAPY INSTITUE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL P SUPERFON D.O. (PHYSICIAN)
(602) 277-1449
Entity
Organization
Contact information
Practice address
16620 N 40TH ST, SUITE C-3, PHOENIX, AZ 85032-3348
(602) 396-0851
(602) 841-0611
Mailing address
2224 W. NORTHERN AVE., SUITE D-300, PHOENIX, AZ 85021-5099
(602) 277-1449
(602) 277-9984
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
—
—
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
07/08/2016
Last updated
07/08/2016
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