Organization
ADVANCED DERMAL SOLUTIONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINE PARKS (OWNER)
(520) 703-2534
Entity
Organization
Contact information
Practice address
6655 N CANYON CREST DR, APT 5123, TUCSON, AZ 85750-0938
(520) 730-2534
Mailing address
6655 N CANYON CREST DR, APT 5123, TUCSON, AZ 85750-0938
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP7921
AZ
Other
Enumeration date
02/01/2017
Last updated
02/01/2017
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