NPI 1225416456

Physician Skin Solutions

Organisation Dermatology Physician Glendale, AZ

Practice location

Address: 18275 N 59th Ave Suite C-116, Glendale, AZ 85308-1260
Phone: (602) 843-4040
Fax: (602) 843-4077

Authorised official

Name: Shannon Leah Maltais
Title: Ceo/Medical Director
Phone: (602) 843-4040

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 04-805 (AZ)

Other Dermatology providers in Arizona →

Registry record

NPI: 1225416456
Entity type: Organization
NPI issued: 7 May 2015
Record last updated: 7 May 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.