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NPI Code Detail

MEDICARE: ARIZONA DERMATOLOGY SPECIALISTS, PLLC

MEDICARE: ARIZONA DERMATOLOGY SPECIALISTS, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ND0101XMOHS-Micrographic Surgery Physician29708AZ
2207N00000XDermatology Physician29708AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2P17495542OTHERAZAZ PLLC REGISTRATION

General Provider Information

NPI Number : 1992061162
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARIZONA DERMATOLOGY SPECIALISTS, PLLC
Provider Business Mailing Address
First Line : P.O. BOX 9290
Second Line :
City : SURPRISE
State : AZ
Zip : 85374-9290
Country : US
Telephone Number : 623-584-3376
Fax Number : 623-584-3375
Provider Business Practice Location Address
First Line : 14800 W. MOUNTAIN VIEW BLVD.
Second Line : STE. 160
City : SURPRISE
State : AZ
Zip : 85374-2700
Country : US
Telephone Number : 623-584-3376
Fax Number : 623-584-3375
Authorized Official
Title or Position : OWNER/MEMBER
Name : JAMES O BARLOW
Credential : M.D.
Telephone Number : 602-793-8411
Provider Enumeration Date : 04/02/2012
Last Update Date : 09/04/2012

Similar Medicare Providers

1982683405 — DR. JAMES ORSON BARLOW M.D.
Practice Location Address:
14800 W MOUNTAIN VIEW BLVD STE 160
SURPRISE, AZ
85374-2700
Practice Phone: 623-584-3376
Practice Fax: 623-584-3375
1265490429 — JESSE M OLMEDO MD
Practice Location Address:
14800 W MOUNTAIN VIEW BLVD , SUITE 160
SURPRISE, AZ
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Practice Phone: 623-584-3376
Practice Fax: 623-584-3375
1750394227 — DR. DREW AUBREY REESE D.O.
Practice Location Address:
14800 W MOUNTAIN VIEW BLVD STE 160
SURPRISE, AZ
85374-2700
Practice Phone: 623-584-3376
Practice Fax: 623-584-3375
1881719342 — AUC INVESTORS GROUP LLC.
Practice Location Address:
14800 W MOUNTAIN VIEW BLVD STE 190
SURPRISE, AZ
85374-2700
Practice Phone: 602-443-6711
Practice Fax:
1164961157 — ELIZABETH V VESSELOVSKAYA PA-C
Practice Location Address:
14800 W MOUNTAIN VIEW BLVD STE 160
SURPRISE, AZ
85374-2700
Practice Phone: 623-584-3376
Practice Fax: 623-584-3375
1740809615 — HAVILAH CHELSEA DODD PA-C
Practice Location Address:
14800 W MOUNTAIN VIEW BLVD STE 160
SURPRISE, AZ
85374-2700
Practice Phone: 623-584-3376
Practice Fax: 623-584-3375

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