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Organization

DONSKY BOGLE DERMATOLOGY LLC

Active
Other names
GRAND CANYON DERMATOLOGY PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
HOWARD J DONSKY MD (PRESIDENT)
(480) 985-1093
Entity
Organization

Contact information

Practice address
1150 N COUNTRY CLUB DR, SUITE 6, MESA, AZ 85201-2537
(480) 985-1093
Mailing address
1150 N COUNTRY CLUB DR, SUITE 6, MESA, AZ 85201-2537
(480) 985-1093

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
12/09/2008
Last updated
09/22/2011
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