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Omni Dermatology Olive Llc
Specialist in Glendale, Arizona
NPI 1669914172

Omni Dermatology Olive Llc is a Specialist based in Phoenix, AZ. Omni Dermatology Olive Llc practices in Glendale, AZ. The NPI Number for Omni Dermatology Olive Llc is 1669914172 and holds a License No. (Arizona).

The current practice location address for Omni Dermatology Olive Llc is 5700 W Olive Ave, Glendale, AZ and can be reached out via phone at 602-559-5470 and via fax at 602-559-5471. You can also correspond with Omni Dermatology Olive Llc through the mailing address at 4840 E INDIAN SCHOOL RD, PHOENIX, AZ - 85018-5500 (mailing address contact number: 602-954-3919).

Location: 5700 W Olive Ave, Glendale, AZ, 85018-5500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1669914172
Provider Name
Omni Dermatology Olive Llc
Credential
Provider Entity Type
Organization
Address
5700 W Olive Ave, Glendale, AZ, 85018-5500
Phone Number
602-559-5470
Fax Number
602-559-5471
Provider Enumeration Date
11/15/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5700 W Olive Ave
City
Glendale
State
Arizona
Zip
85302-3147
Phone Number
602-559-5470
Fax Number
602-559-5471
person
Provider Business Mailing Address Details
Address
5700 W Olive Ave
City
Glendale
State
Arizona
Zip
85302-3147
Phone Number
602-559-5470
Fax Number
602-559-5471
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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