Omni Dermatology Incorporated
Omni Dermatology Incorporated provides Dermatology Physician services in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2008.
- Licensed in
- AZ
- In the registry since
- 2008
Practice location Address checks out
11851 N 51st Ave Ste E130Glendale, AZ 85304-2843
Phone: (480) 954-3919
Fax: (480) 954-3670
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 4311 (AZ) |
|---|
Record details
| NPI number | 1003082090 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Andrew Racette — President · (602) 369-3634 |
| NPI enumerated | April 30, 2008 |
| Last updated in NPPES | April 3, 2024 |
| Certification date | April 3, 2024 |
| Mailing address | 11851 N 51st Ave Ste E130, Glendale, AZ 85304-2843 |
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