Organization
AZ DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYSHRI GAMOTH MD (PRESIDENT)
(480) 982-3337
Entity
Organization
Contact information
Practice address
4540 E BASELINE RD STE 109, MESA, AZ 85206-4616
(480) 982-3337
(520) 374-2467
Mailing address
4540 E BASELINE RD STE 109, MESA, AZ 85206-4616
(480) 982-3337
(480) 497-4580
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
02/25/2008
Last updated
10/02/2020
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