Organization
ALLIANCE DERMATOLOGY & MOHS CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SADRA JAZAYERI M.D. (OWNER)
(602) 971-0268
Entity
Organization
Contact information
Practice address
4045 E BELL RD, SUITE 125, PHOENIX, AZ 85032-2238
(602) 971-0268
(602) 971-1556
Mailing address
4045 E BELL RD, SUITE 125, PHOENIX, AZ 85032-2238
(602) 971-0268
(602) 971-1156
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/03/2014
Last updated
01/10/2024
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