Organization
SAGEBRUSH DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAO LI MD (OWNER)
(480) 681-3376
Entity
Organization
Contact information
Practice address
5432 E SOUTHERN AVE STE 101B, MESA, AZ 85206-2772
(480) 681-3376
(480) 681-3372
Mailing address
5432 E SOUTHERN AVE STE 101B, MESA, AZ 85206-2772
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
01/18/2022
Last updated
03/03/2022
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