Organization
NOPALLI, LLC
Active
Other names
Saguaro Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MEDINA (CREDENTIALING MANAGER)
(480) 681-3300
Entity
Organization
Contact information
Practice address
4425 E AGAVE RD STE 148, PHOENIX, AZ 85044-0623
(480) 704-7546
Mailing address
PO BOX 61025, PHOENIX, AZ 85082-1025
(480) 681-3300
(480) 681-3301
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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