OMNI DERMATOLOGY INCORPORATED
Organization (NPI-2)
Active
Dermatology
Provider Information
- NPI Number
1003082090- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 11851 N 51ST AVE STE E130, GLENDALE, AZ, 853042843
- Phone
- (480) 954-3919
- Fax
- (480) 954-3670
Specialties & Taxonomies
Dermatology
Primary License: AZ #4311