Arizona Skin and Laser Therapy Institute, Ltd

NPI #1427506203 in Quartzsite, Arizona

Provider Information

NPI Number: 1427506203
Entity Type: Organization
Organization Name: Arizona Skin and Laser Therapy Institute, Ltd
Primary Specialty: Dermatology
Enumeration Date: Sep 21, 2016
Last Updated: Sep 21, 2016

Practice Location

Address: 375 N JOSHUA AVE
City: Quartzsite
State: Arizona
ZIP Code: 85346-9999
Phone: (928) 927-4060

Authorized Official

Name: NEIL P SUPERFON, DO
Title: PHYSICIAN/OWNER
Phone: (602) 277-2247

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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