Organization
RICHARD CIRELLI, MD, PC
Active
Other names
SUNWEST DERMATOLOGY
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ALLEN CIRELLI M.D. (OWNER)
(928) 445-7546
Entity
Organization
Contact information
Practice address
955 BLACK DR, PRESCOTT, AZ 86305-1403
(928) 445-7546
(928) 445-7598
Mailing address
955 BLACK DR, PRESCOTT, AZ 86305-1403
(928) 445-7546
(928) 445-7598
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
AZ
207NP0225X
Pediatric Dermatology Physician
—
AZ
207NS0135X
Procedural Dermatology Physician
AZ27370
AZ
207NS0135X
Procedural Dermatology Physician
—
AZ
Other
Enumeration date
11/19/2007
Last updated
11/06/2018
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