Organization
AZ DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYSHRI GAMOTH M.D. (OWNER)
(520) 374-2462
Entity
Organization
Contact information
Practice address
1025 W 24TH ST, SUITE 5, YUMA, AZ 85364-8366
(520) 374-2462
(520) 374-2467
Mailing address
1821 N TREKELL RD, SUITE 5, CASA GRANDE, AZ 85122-1705
(520) 374-2462
(520) 374-2467
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36353
AZ
Other
Enumeration date
10/02/2009
Last updated
12/07/2017
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