DERMATOLOGY AND PLASTIC SURGERY OF ARIZONA LLC
Dermatology at Coronado Dr, Sierra Vista, AZ

License number
Arizona 006021
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: DR. JAMIE M MOENSTER D.O.
Title: MEMEBER
Phone: (520) 458-1787
Address
Address
150 S Coronado Dr STE 110, Sierra Vista, AZ 85635
National Provider ID: 1649611476
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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DERMATOLOGY AND PLASTIC SURGERY OF ARIZONA, LLC

165 El Camino Real, Sierra Vista, AZ 85635

Doing business as:
Dermatology And Plastic Surgery
Registration:
May 29, 2013
Phone:
(520) 458-1787 (Phone)
State ID:
L-1850018-2
Expiration:
PERPETUAL
Members:
Jamie M Moenster Do Pc (Member), 165 El Camino Real, Sierra Vista, AZ 85635 (Physical),Christopher W Weyer Do Pc (Member), 165 El Camino Real, Sierra Vista, AZ 85635 (Physical)
Agent:
Christopher W Weyer,165 El Camino Real, Sierra Vista, AZ 85635 (Physical)
Categories:
Dermatology Physicians & Surgeons, Physicians & Surgeons

Dermatology licenses in Arizona


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