Organization
AAP DERMATOLOGY & COSMETIC SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD M GLICK D.O. (PRESIDENT)
(480) 924-9235
Entity
Organization
Contact information
Practice address
3940 E UNIVERSITY DR, SUITE ONE, MESA, AZ 85205-6945
(480) 924-9235
(480) 832-5501
Mailing address
3940 E UNIVERSITY DR, MESA, AZ 85205-6945
(480) 924-9235
(480) 832-5501
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2012
AZ
Other
Enumeration date
05/17/2007
Last updated
02/09/2022
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