Organization
AZ DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYSHRI GAMOTH M.D. (OWNER)
(520) 374-2462
Entity
Organization
Contact information
Practice address
1840 W APACHE TRL, APACHE JUNCTION, AZ 85120-3728
(480) 982-3337
(520) 374-2467
Mailing address
1821 N TREKELL RD, SUITE, CASA GRANDE, AZ 85122-1705
(520) 374-2462
(520) 374-2467
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36353
AZ
Other
Enumeration date
10/08/2009
Last updated
10/08/2009
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