NPI 1679761720
Rcdc of Surprise Plc
Practice location
- Address
- 16952 W Bell Rd Suite 304, Surprise, AZ 85374-8951
- Phone
- (623) 584-3588
- Fax
- (623) 584-3589
Authorised official
- Name
- Charles W Love
- Title
- M.D./Owner
- Phone
- (515) 226-8484
Registered specialties
Dermatology Physician
Primary
Registry record
- NPI
- 1679761720
- Entity type
- Organization
- NPI issued
- 12 Oct 2007
- Record last updated
- 25 Jul 2013
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.