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Organization

RADIANT COMPLEXIONS DERMATOLOGY CLINICS

Active
Other names
RCDC Surprise
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES LOVE M.D. (MEDICAL DIRECTOR)
(515) 226-8484
Entity
Organization

Contact information

Practice address
16952 W BELL RD STE 304, SURPRISE, AZ 85374-8951
(623) 584-3588
Mailing address
16952 W BELL RD STE 304, SURPRISE, AZ 85374-8951
(623) 584-3588

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
RN114597
AZ

Other

Enumeration date
11/06/2008
Last updated
11/06/2008
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