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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