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NPI Code Detail

MEDICARE: CONTACT DERMATITIS INSTITUTE LLC

MEDICARE: CONTACT DERMATITIS INSTITUTE LLC
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
1207N00000XDermatology Physician

General Provider Information

NPI Number : 1659627370
Entity Type Code : Organization
Provider Name (Legal Business Name) : CONTACT DERMATITIS INSTITUTE LLC
Provider Business Mailing Address
First Line : 3400 E MCDOWELL RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-3884
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3400 E MCDOWELL RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85008-3884
Country : US
Telephone Number : 602-914-4267
Fax Number :
Authorized Official
Title or Position : CEO
Name : CURTIS PETER HAMANN
Credential :
Telephone Number : 602-914-4267
Provider Enumeration Date : 07/31/2012
Last Update Date : 04/27/2018

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Directions to “CONTACT DERMATITIS INSTITUTE LLC ” Practice Location

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