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Individual

MR. NEIL P. SUPERFON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
754
AZ
207ND0101X
MOHS-Micrographic Surgery Physician
754
AZ
207ND0900X
Dermatopathology Physician
754
AZ
207NS0135X
Procedural Dermatology Physician
754
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
227860
AZ
01
2Z2527
HEALTHNET
AZ
01
4022597
AETNA
AZ
01
AZ0063290
BLUE CROSS
AZ
Enumeration date
05/25/2006
Last updated
03/28/2024
Update your record

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