Southwest Mobile Dermatology Plc

LBN: Southwest Mobile Dermatology Plc
Southwest Mobile Dermatology Plc is an health care organization with primary practice located at 11034 N 23Rd Dr # 105B , Phoenix AZ 85029-4743. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Southwest Mobile Dermatology Plc can be contacted via phone (480) 330-5840, or through Stathakis, John via phone (602) 672-3675.

Contact Information

Primary practice address
11034 N 23Rd Dr # 105B Phoenix AZ 85029-4743
Phone: (480) 330-5840
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stathakis, John Doctor of Osteopathy (DO)
Phone: (602) 672-3675

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X

Profile Details

NPI number 1881235489
LBN Legal business name Southwest Mobile Dermatology Plc
DBA Doing business as
Authorized official Stathakis, John Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2019
Last updated Oct 4th, 2019 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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