Omni Dermatology Estrella LLC

NPI #1225570732 in Phoenix, Arizona

Provider Information

NPI Number: 1225570732
Entity Type: Organization
Organization Name: Omni Dermatology Estrella LLC
Primary Specialty: Specialist
Enumeration Date: Nov 15, 2016
Last Updated: Nov 15, 2016

Practice Location

Address: 9305 W THOMAS RD
Address 2: STE 350
City: Phoenix
State: Arizona
ZIP Code: 85037-3328
Phone: (623) 478-8000

Authorized Official

Name: DR. ANDREW JOSEPH RACETTE, D.O.
Title: PRESIDENT
Phone: (602) 954-3919

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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