Organization
SCOTTSDALE SKIN BOUTIQUE AND DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENEVIEVE EGNATIOS MD (PHYSICIAN)
(480) 998-1400
Entity
Organization
Contact information
Practice address
11333 N SCOTTSDALE RD STE 115, SCOTTSDALE, AZ 85254-5186
(310) 980-7532
Mailing address
11333 N SCOTTSDALE RD STE 115, SCOTTSDALE, AZ 85254-5186
(480) 998-1400
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
11/15/2020
Last updated
03/02/2021
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