Organization
BRENT D. SLOTEN D.O. PLLC
Active
Other names
Allure Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT DREW SLOTEN D.O. (MANAGING MEMBER)
(480) 981-1214
Entity
Organization
Contact information
Practice address
1818 E BASELINE RD, BLDG. A, MESA, AZ 85204-6814
(480) 981-1214
(480) 981-1625
Mailing address
PO BOX 4880, SCOTTSDALE, AZ 85261-4880
(480) 981-1214
(480) 981-1625
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
3368
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073585402
PERSONAL NPI
AZ
01
—
3368
MEDICAL LICENSE
AZ
Enumeration date
02/15/2007
Last updated
10/08/2019
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