KEVIN A FUCIARELLI MD PC
Dermatology at Hayden Rd, Scottsdale, AZ

License number
Arizona 29740
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: DR. KEVIN A FUCIARELLI MD
Title: PRESIDENT
Phone: (480) 513-7047
Address
Address
10615 N Hayden Rd, Scottsdale, AZ 85260
National Provider ID: 1023170750
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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KEVIN A. FUCIARELLI, M.D., PC

23823 N 113 Pl, Scottsdale, AZ 85255

Registration:
Apr 19, 2002
State ID:
-1027210-9
Expiration:
PERPETUAL
President:
Kevin Fuciarelli (President), 23823 N 113 Pl, Scottsdale, AZ 85255 (Physical)
Agent:
Angelo Fuciarelli,23823 N 113 Pl, Scottsdale, AZ 85255 (Physical)
Business type:
HEALTH CARE

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