Organization
RESTORATION DERMATOLOGY LOUNGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN PATTERSON NP (OWNER)
(480) 297-0727
Entity
Organization
Contact information
Practice address
8753 E BELL RD STE D101, SCOTTSDALE, AZ 85260-1307
(480) 297-0727
Mailing address
PO BOX 1205, INDIANAPOLIS, IN 46206-1205
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/23/2020
Last updated
10/23/2020
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