Individual
DR. RICHARD L AVERITTE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
20401 N 73RD ST, STE 230, SCOTTSDALE, AZ 85255-4107
(480) 556-0446
(480) 223-6900
Mailing address
20401 N 73RD ST, STE 230, SCOTTSDALE, AZ 85255
(480) 556-0446
(480) 223-6900
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
30247
AZ
207ND0101X
MOHS-Micrographic Surgery Physician
30247
AZ
207NS0135X
Procedural Dermatology Physician
30247
AZ
Other
Enumeration date
03/20/2006
Last updated
08/09/2012
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