Az Dermatology

NPI #1962737965 in Maricopa, Arizona

Provider Information

NPI Number: 1962737965
Entity Type: Organization
Organization Name: Az Dermatology
Primary Specialty: Specialist
Enumeration Date: Oct 8, 2009
Last Updated: Oct 8, 2009

Practice Location

Address: 21300 N JOHN WAYNE PKWY
Address 2: SUITE 112
City: Maricopa
State: Arizona
ZIP Code: 85139-8979
Phone: (520) 374-2462

Authorized Official

Name: DR. JAYSHRI GAMOTH, M.D.
Title: OWNER
Phone: (520) 374-2462

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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