Organization
DESERT VALLEY DERMATOLOGY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS LAM DO (MEMBER)
(918) 625-4103
Entity
Organization
Contact information
Practice address
3815 E BELL RD STE 3100, PHOENIX, AZ 85032-2156
(918) 625-4103
Mailing address
4636 E LAFAYETTE BLVD, PHOENIX, AZ 85018-3830
(918) 625-4103
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
12/07/2022
Last updated
03/01/2023
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