Organization
AZ SKIN CANCER TREATMENT CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIMI ROCKEL (OFFICE MANAGER)
(602) 616-6643
Entity
Organization
Contact information
Practice address
14545 W GRAND AVE # A-106, SURPRISE, AZ 85374-7278
(602) 616-6643
Mailing address
6535 N ARIZONA BILTMORE CIR, PHOENIX, AZ 85016-8907
(602) 616-6643
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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