PHYSICIAN SKIN SOLUTIONS
Dermatology at 59 Ave, Glendale, AZ

License number
Arizona 04-805
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: MRS. SHANNON LEAH MALTAIS NMD
Title: CEO/MEDICAL DIRECTOR
Phone: (602) 843-4040
Address
Address
18275 N 59Th Ave SUITE C-116, Glendale, AZ 85308
National Provider ID: 1225416456
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PHYSICIAN SKIN SOLUTIONS at bizstanding.com

PHYSICIAN SKIN SOLUTIONS, LLC

18275 N 59 Ave, Glendale, AZ 85308

Registration:
Sep 25, 2007
State ID:
L-1396786-5
Expiration:
Perpetual
Manager:
Dr Shannon Maltais (Manager), 15046 N 172 Ln, Surprise, AZ 85388 (Physical)
Agent:
Liz A Crampton Esq,20100 N 51 Ave STE E-540, Glendale, AZ 85308 (Physical)

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