Allurerx,llc

NPI 1194167247 - Dermatology - 207N00000X

NPI Details
NPI 1194167247
Enumeration Date 07/17/2013
Last Updated 07/17/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name BRENT D BRENT
Position PHYSICIAN
Phone (480) 981-1214
Fax (480) 981-1625
Practice Location
1818 E BASELINE RD
MESA AZ, 85204-6814, US
Phone (480) 981-1214
Fax (480) 981-1625
Business Location
7125 E LINCOLN DR
SUITE B210
PARADISE VALLEY AZ, 85253-4429, US
Phone (480) 981-1214
Fax (480) 981-1625
Toxanomy
Taxonomy Code 207N00000X
License State Arizona
License Number 3368
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According to our database, Allurerx,llc NPI is 1194167247, taxonomy code is 207N00000X and license number is 3368, license state is located at Arizona. Allurerx,llc physically located at 1818 E Baseline Rd, Mesa AZ, 85204-6814. NPI Number 1033115704 has the healthcare provider type.

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1194167247 NPI number is provided on an as is basis without warranty of any kind. 1194167247 is maintained by the National Plan & Provider Enumeration System. The contents of Allurerx,llc are for informational purposes only.