Individual
JAMES FREDERICK PEHOUSHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
6320-A W UNION HILLS DR., STE 100, GLENDALE, AZ 85308-1051
(623) 376-7600
(623) 376-0229
Mailing address
14239 W BELL RD, SUITE 101, SURPRISE, AZ 85374-2469
(623) 544-7755
(623) 544-8665
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
23095
AZ
207ND0900X
Dermatopathology Physician
23095
AZ
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
23095
AZ
207NP0225X
Pediatric Dermatology Physician
23095
AZ
207NS0135X
Procedural Dermatology Physician
23095
AZ
Other
Enumeration date
09/09/2005
Last updated
05/15/2013
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