Organization
RICHARD LEE AVERITTE JR., PLLC
Active
Organization
RICHARD LEE AVERITTE JR., PLLC
Active
Other names
Affiliated Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
MARLIE AVERITTE (CFO)
(480) 556-0446
Entity
Organization
Contact information
Practice address
13995 W STATLER BLVD, SUITE 150, SURPRISE, AZ 85374-5501
(480) 223-6843
(480) 223-6851
Mailing address
20401 N 73RD ST, SUITE 230, SCOTTSDALE, AZ 85255-4153
(480) 556-0446
(480) 223-6954
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
3866
AZ
Other
Enumeration date
05/17/2016
Last updated
05/17/2016
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