Ahwatukee Skin & Laser LLC

NPI #1407167596 in Phoenix, Arizona

Provider Information

NPI Number
1407167596
Entity Type
Organization
Organization Name
Ahwatukee Skin & Laser LLC
Primary Specialty
Dermatology - Dermatopathology
Enumeration Date
Jun 23, 2010
Last Updated
Aug 14, 2010

Practice Location

Address
4425 E AGAVE RD
Address 2
SUITE 148
State
Arizona
ZIP Code
85044-0619
Phone
(480) 704-7546

Authorized Official

Name
SARAH E NEUMANN, PA-C
Title
MANAGER, PROVIDER
Phone
(480) 704-7546

Specialties & Taxonomy Codes

Specialty
Dermatology - DermatopathologyDermatopathology

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