Organization
AHWATUKEE DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH E NEUMANN MMS, PA-C (MANAGER)
(480) 785-7546
Entity
Organization
Contact information
Practice address
4545 E CHANDLER BLVD, SUITE 305, PHOENIX, AZ 85048-7643
(480) 785-7546
(480) 940-1760
Mailing address
4545 E CHANDLER BLVD, SUITE 305, PHOENIX, AZ 85048-7643
(480) 785-7546
(480) 940-1760
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
15963
AZ
363AM0700X
Medical Physician Assistant
2590
AZ
363LA2200X
Adult Health Nurse Practitioner
151
AZ
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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