Organization
RADIANT COMPLEXIONS DERMATOLOGY CLINICS
Active
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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