Organization
DESERT OASIS DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN LAVIAN MD (DERMATOLOGIST)
(480) 418-3314
Entity
Organization
Contact information
Practice address
21300 N JOHN WAYNE PKWY STE 108, MARICOPA, AZ 85139-8964
(480) 418-3314
(480) 923-6586
Mailing address
13835 N TATUM BLVD STE 9-268, PHOENIX, AZ 85032-5590
(480) 418-3314
(480) 923-6586
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
02/17/2025
Last updated
11/04/2025
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