OMNI DERMATOLOGY ESTRELLA LLC is a specialist in Phoenix, AZ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. OMNI DERMATOLOGY ESTRELLA LLC NPI is 1225570732. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
9305 W THOMAS RD
STE 350
PHOENIX, AZ
ZIP 85037-328
Phone: (623) 478-8000
Fax: (623) 478-8003
The provider's authorized official is Andrew Joseph Racette .
The authorized official title is President and has the following contact phone number (602) 954-3919.
The CLIA number assigned to this NPI record is 03D2092594 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 11/15/2016 and was last updated on 11/15/2016.