Organization
DERMATOLOGY CENTER OF YUMA PLLC
Active
Parent organization
DERMATOLOGY CENTER OF YUMA PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
DERMATOLOGY CENTER OF YUMA PLLC
Authorized official
MARY ELLEN JOAN LUCHETTI M.D. (PRESIDENT)
(928) 329-4761
Entity
Organization
Contact information
Practice address
2270 S RIDGEVIEW DR, STE 302, YUMA, AZ 85364
(928) 783-0169
Mailing address
2270 S RIDGEVIEW DR, STE 302, YUMA, AZ 85364
(928) 783-0169
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
044009
GA
174400000X
Specialist
Primary
28963
AZ
Other
Enumeration date
11/05/2007
Last updated
03/24/2009
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