Organization
DERMATOLOGY VEIN AND LASER INSTITUTE LLC
Active
Organization
DERMATOLOGY VEIN AND LASER INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK R ROSENBERG D.O. (PHYSICIAN)
(602) 971-2873
Entity
Organization
Contact information
Practice address
4045 E BELL RD, SUITE 119, PHOENIX, AZ 85032-2236
(602) 971-2873
(602) 971-0016
Mailing address
4045 E BELL RD, SUITE 119, PHOENIX, AZ 85032-2236
(602) 971-2873
(602) 971-0016
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2245
AZ
Other
Enumeration date
12/28/2006
Last updated
03/31/2008
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