White Mountain Dermatology LLC
NPI #1033164538 in Apache Junction, Arizona
Provider Information
- NPI Number
- 1033164538
- Entity Type
- Organization
- Organization Name
- White Mountain Dermatology LLC
- Primary Specialty
- Dermatology - Procedural Dermatology
- Enumeration Date
- May 23, 2006
- Last Updated
- Apr 7, 2015
Practice Location
- Address
- 288 N IRONWOOD DR
- Address 2
- SUITE 105
- City
- Apache Junction
- State
- Arizona
- ZIP Code
- 85220-3830
- Phone
- (480) 671-4086
Authorized Official
- Name
- GERARDO C BRUAL, MD
- Title
- PRESIDENT
- Phone
- (480) 671-4086
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - Procedural Dermatology — Procedural Dermatology |
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