Organization
ARIZONA SKIN AND LASER THERAPY INSTITUTE, LTD.
Active
Parent organization
ARIZONA SKIN AND LASER THERAPY INSITUTE, LTD
Other names
Arizona Dermatology
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA SKIN AND LASER THERAPY INSITUTE, LTD
Authorized official
NEIL P SUPERFON DO (OWNER/PHYSICIAN)
(602) 277-2247
Entity
Organization
Contact information
Practice address
10440 E RIGGS RD, SUITE 209, SUN LAKES, AZ 85248-7751
(480) 818-3314
Mailing address
2224 W NORTHERN AVE, SUITE D-300, PHOENIX, AZ 85021-4928
(602) 277-1449
(602) 277-9984
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
02/15/2011
Last updated
02/15/2011
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