Organization
ARIZONA SKIN SPECIALISTS DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH A JOHNSON (PRESIDENT)
(480) 585-7474
Entity
Organization
Contact information
Practice address
16620 N 40TH ST, STE I-5, PHOENIX, AZ 85032-3348
(480) 585-7474
(480) 718-7342
Mailing address
16620 N 40TH ST, STE I-5, PHOENIX, AZ 85032-3348
(480) 585-7474
(480) 718-7342
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
—
—
Other
Enumeration date
08/19/2010
Last updated
08/19/2010
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