Individual
SIERRA WOLTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016
(602) 933-0895
(602) 933-2436
Mailing address
3200 E CAMELBACK RD STE 250, PHOENIX, AZ 85018-2327
(602) 933-1813
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
NONE
WI
207NP0225X
Pediatric Dermatology Physician
Primary
49602
AZ
Other
Enumeration date
10/07/2009
Last updated
08/10/2018
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