Organization
ASSOCIATES IN DERMATOLOGY CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROOKE L BLUMETTI DO (CLINIC DIRECTOR)
(480) 596-1110
Entity
Organization
Contact information
Practice address
11000 N SCOTTSDALE RD STE 120, SCOTTSDALE, AZ 85254-6169
(480) 596-1110
(480) 596-9969
Mailing address
11000 N SCOTTSDALE RD STE 120, SCOTTSDALE, AZ 85254-6169
(480) 596-1110
(480) 596-9969
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
12450
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
281484002
—
AZ
Enumeration date
03/27/2012
Last updated
05/22/2019
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