RICHARD LEE AVERITTE JR., PLLC is a non pharmacy dispensing site in Surprise, AZ. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) RICHARD LEE AVERITTE JR., PLLC NPI is 1598112831. The provider is registered as an organization entity type.
The provider Is Doing Business As Affiliated Dermatology.
The provider's business location address is:
13995 W STATLER BLVD
SUITE 150
SURPRISE, AZ
ZIP 85374-501
Phone: (480) 223-6843
Fax: (480) 223-6851
The provider's authorized official is Marlie Averitte .
The authorized official title is Cfo and has the following contact phone number (480) 556-0446.
The CLIA number assigned to this NPI record is 32D0984735 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 5/17/2016 and was last updated on 5/17/2016.