East Valley Dermatology Rx, LLC

NPI #1013312925 in Chandler, Arizona

Provider Information

NPI Number
1013312925
Entity Type
Organization
Organization Name
East Valley Dermatology Rx, LLC
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Nov 4, 2014
Last Updated
Oct 29, 2019

Practice Location

Address
1100 S DOBSON RD
Address 2
#223
State
Arizona
ZIP Code
85286-6157
Phone
(480) 821-8888

Authorized Official

Name
JENNIFER ANN DAVIS
Title
OFFICE MANAGER
Phone
(480) 821-8888

Specialties & Taxonomy Codes

Specialty
Dermatology
Non-Pharmacy Dispensing Site

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