Organization
BRENDA LATOWSKY M.D. P.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNA SANFORD (PRACTICE ADMINISTRATOR)
(480) 398-1550
Entity
Organization
Contact information
Practice address
8841 E BELL RD STE 201, SCOTTSDALE, AZ 85260-1984
(602) 971-0950
(602) 992-4971
Mailing address
8841 E BELL RD STE 201, SCOTTSDALE, AZ 85260-1984
(602) 971-0950
(602) 992-4971
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
41903
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z145456
PTAN
AZ
Enumeration date
05/11/2011
Last updated
12/18/2024
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