ALLIANCE DERMATOLOGY & MOHS CENTER PC NPI 1861813156

NPI Information

ALLIANCE DERMATOLOGY & MOHS CENTER, PC 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. ALLIANCE DERMATOLOGY & MOHS CENTER, PC NPI is 1861813156. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4045 E BELL RD
SUITE 125
PHOENIX, AZ
ZIP 85032-238
Phone: (602) 971-0268
Fax: (602) 971-1156

The provider's authorized official is Sadra Jazayeri .
The authorized official title is Owner and has the following contact phone number (602) 971-0268.

The CLIA number assigned to this NPI record is 03D0705498 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/3/2014 and was last updated on 6/24/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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