Organization
ARIZONA SKIN AND LASER THERAPY INSTITUTE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL P SUPERFON DO (PHYSICIAN/OWNER)
(602) 277-2247
Entity
Organization
Contact information
Practice address
288 N IRONWOOD DR, SUITE 105, APACHE JUNCTION, AZ 85120-3830
(480) 671-4086
(480) 671-4105
Mailing address
2224 W NORTHERN AVE, SUITE D300, PHOENIX, AZ 85021-4928
(602) 277-1449
(602) 277-9984
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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