Organization
ALL DERMATOLOGY, INC.
Active
Other names
Allergy and Dermatology Specialists, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES F PEHOUSHEK M.D. (PHYSICIAN/OWNER)
(623) 376-7600
Entity
Organization
Contact information
Practice address
6320A W UNION HILLS DR, SUITE 210, GLENDALE, AZ 85308-7177
(623) 376-7600
(623) 376-0229
Mailing address
14239 W BELL RD, SUITE 101, SUPRISE, AZ 85374-2469
(623) 544-7755
(623) 544-8665
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207KA0200X
Allergy Physician
—
—
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
Primary
—
—
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
—
—
207NP0225X
Pediatric Dermatology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
07/15/2008
Last updated
08/05/2019
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