RICHARD LEE AVERITTE JR PLLC
Osteopathic Medicine at 27 Ave, Phoenix, AZ

License number
Arizona 40537
Category
Osteopathic Medicine
Type
Dermatology
License number
Arizona 40537
Category
Osteopathic Medicine
Type
MOHS-Micrographic Surgery
License number
Arizona 40537
Category
Osteopathic Medicine
Type
Dermatopathology
License number
Arizona 40537
Category
Osteopathic Medicine
Type
Clinical & Laboratory Dermatological Immunology
License number
Arizona 40537
Category
Osteopathic Medicine
Type
Pediatric Dermatology
License number
Arizona 40537
Category
Osteopathic Medicine
Type
Procedural Dermatology
Owner
Name: MARLIE AVERITTE
Title: CFO
Phone: (480) 556-0446
Address
Address 2
19646 N 27Th Ave STE 305, Phoenix, AZ 85027
20401 N 73Rd St STE 230, Scottsdale, AZ 85255
National Provider ID: 1609291848
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RICHARD LEE AVERITTE, JR., P.L.L.C

20401 N 73 St STE 230, Scottsdale, AZ 85255

Industry:
Medical Doctor's Office
Doing business as:
Richard Lee Averitte Jr Pllc
Registration:
Apr 1, 2002
State ID:
P-1024830-8
Expiration:
PERPETUAL
Mbrs:
Marlie Averitte (Manager), 20401 N 73 St STE 230, Scottsdale, AZ 85255 (Physical),Christine Lin (Manager), 20401 N 73 St STE 230, Scottsdale, AZ 85255 (Physical),Richard Averitte (Manager, Member), 20401 N 73 St STE 230, Scottsdale, AZ 85255 (Physical),...

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