| Arizona Skin And Dermatology Pc | |
|
153 W Central Ave Coolidge AZ 85128-4405 | |
| (602) 529-4700 | |
| (602) 529-4699 |
| Full Name | Arizona Skin And Dermatology Pc |
|---|---|
| Speciality | Dermatology |
| Location | 153 W Central Ave, Coolidge, Arizona |
| Authorized Official Name and Position | Manntej Sra (OWNER) |
| Authorized Official Contact | 6025294700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Arizona Skin And Dermatology Pc 8380 W Emile Zola Ave Ste 5116 Peoria AZ 85381-4811 Ph: (602) 529-4700 | Arizona Skin And Dermatology Pc 153 W Central Ave Coolidge AZ 85128-4405 Ph: (602) 529-4700 |
| NPI Number | 1639569825 |
|---|---|
| Provider Enumeration Date | 01/27/2015 |
| Last Update Date | 01/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639569825 | NPI | - | NPPES |
| Z171303 | Other | AZ | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207N00000X | Dermatology | (* (Not Available)) | Primary |
Sun Life Family Health Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1284 North Arizona Road, Coolidge, AZ 85228 Phone: 520-723-9131 Fax: 520-723-7974 | |
Pinal Hispanic Council Incorporated Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 232 W Central Ave, Coolidge, AZ 85128 Phone: 520-723-7405 Fax: 520-723-7410 | |
Ajo Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1435 N Arizona Blvd, Coolidge, AZ 85128 Phone: 520-387-5651 |