Organization
ARIZONA SKIN AND LASER THERAPY INSTITUTE, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NEIL P SUPERFON D.O. (OWNER/PHYSICIAN)
(602) 277-1449
Entity
Organization
Contact information
Practice address
4001 E BASELINE RD, SUITE B-8, GILBERT, AZ 85234-2726
(480) 844-0510
(480) 844-1663
Mailing address
2224 W NORTHERN AVE, D 300, PHOENIX, AZ 85021-4928
(602) 277-1449
(602) 277-9984
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/25/2006
Last updated
01/11/2008
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