Organization
INTEGRATED DERMATOLOGY OF MESA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERARD CHRISTOPHER (COO)
(561) 314-2000
Entity
Organization
Contact information
Practice address
130 S 63RD ST, SUITE 114, MESA, AZ 85206-1620
(480) 981-2888
Mailing address
902 CLINT MOORE RD, SUITE 226, BOCA RATON, FL 33487-2800
(561) 314-2000
(561) 989-3665
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
AZ
Other
Enumeration date
01/10/2012
Last updated
07/21/2022
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