CENTER FOR DERMATOLOGY, PC
Dermatology at 87 St, Scottsdale, AZ

License number
Arizona 36909
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: DR. GARY ANTHONY MCCRACKEN M.D.
Title: PRESIDENT
Phone: (480) 905-8485
Address
Address
14275 N 87Th St SUITE 110, Scottsdale, AZ 85260
National Provider ID: 1194792416
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CENTER FOR DERMATOLOGY, PC

14275 N 87 St #110, Scottsdale, AZ 85260

Registration:
Sep 18, 2000
State ID:
-0956457-0
Expiration:
PERPETUAL
President/ceos:
Anthony J Petelin (Other officer), 14275 N 87 St SUITE 110, Scottsdale, AZ 85260 (Physical),Sarah M Nielson (Other officer), 14275 N 87 St SUITE 110, Scottsdale, AZ 85260 (Physical),Gary A Mccracken (President/ceo), 14275 N 87 St SUITE 110, Scottsdale, AZ 85260 (Physical)
Agent:
Le Service Company Llc,4001 N 3 St #401, Phoenix, AZ 85012 (Physical)
Business type:
HEALTH CARE

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