NPI 1033164538

White Mountain Dermatology LLC

Organisation Procedural Dermatology Physician Apache Junction, AZ

Practice location

Address: 288 N Ironwood Dr Suite 105, Apache Junction, AZ 85220-3830
Phone: (480) 671-4086

Authorised official

Name: Gerardo C Brual
Title: President
Phone: (480) 671-4086

Registered specialties

Procedural Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207NS0135X

Other Dermatology providers in Arizona →

Registry record

NPI: 1033164538
Entity type: Organization
NPI issued: 23 May 2006
Record last updated: 7 Apr 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.