Dermatology Northwest LLC

NPI #1790956415 in Tucson, Arizona

Provider Information

NPI Number: 1790956415
Entity Type: Organization
Organization Name: Dermatology Northwest LLC
Primary Specialty: Dermatology
Enumeration Date: Mar 20, 2008
Last Updated: Apr 11, 2008

Practice Location

Address: 1845 W ORANGE GROVE RD
Address 2: SUITE 101
City: Tucson
State: Arizona
ZIP Code: 85704-1134
Phone: (520) 544-2211

Authorized Official

Name: MR. JAMES E BENNETT, M.D.
Title: OWNER
Phone: (520) 544-2211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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