Organization
ARIZONA SKIN AND LASER THERAPY INSTITUTE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL P SUPERFON DO (OWNER/PHYSICIAN)
(602) 277-1449
Entity
Organization
Contact information
Practice address
1500 S WHITE MOUNTAIN RD STE 201, SHOW LOW, AZ 85901-7116
(928) 537-2550
(928) 537-7151
Mailing address
2224 W NORTHERN AVE STE D300, PHOENIX, AZ 85021-5099
(602) 277-1449
(602) 277-9984
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/02/2006
Last updated
06/24/2009
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