Organization
AHWATUKEE SKIN & LASER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH E NEUMANN PA-C (MANAGER, PROVIDER)
(480) 704-7546
Entity
Organization
Contact information
Practice address
4425 E AGAVE RD, SUITE 148, PHOENIX, AZ 85044-0619
(480) 704-7546
Mailing address
4425 E AGAVE RD, SUITE 148, PHOENIX, AZ 85044-0619
(480) 704-7546
(480) 704-7549
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
15963
AZ
Other
Enumeration date
06/23/2010
Last updated
08/14/2010
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