Provider Demographics
NPI:1003246588
Name:DERMCALL LLC
Entity Type:Organization
Organization Name:DERMCALL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:855-433-7639
Mailing Address - Street 1:8776 E SHEA BLVD
Mailing Address - Street 2:STE 106-485
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6629
Mailing Address - Country:US
Mailing Address - Phone:855-433-7639
Mailing Address - Fax:855-433-7639
Practice Address - Street 1:8776 E SHEA BLVD
Practice Address - Street 2:STE 106-485
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6629
Practice Address - Country:US
Practice Address - Phone:855-433-7639
Practice Address - Fax:855-433-7639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-19
Last Update Date:2013-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty