Organization
NORTH MOUNTAIN DERMATOLOGY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH MENDELSON MD (PRESIDENT)
(602) 944-4626
Entity
Organization
Contact information
Practice address
50 E DUNLAP AVE, #105, PHOENIX, AZ 85020-2877
(602) 944-4626
(602) 944-2805
Mailing address
50 E DUNLAP AVE, #105, PHOENIX, AZ 85020-2877
(602) 944-4626
(602) 944-2805
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG2109
RAILROAD MEDICARE
AZ
Enumeration date
08/18/2006
Last updated
08/01/2011
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