Business Name
Physician First Name
Lee
Physician Last Name
Laris
Practice Name
Specialty

Dermatology

Office Designation
Primary
Address
5056 N. Central Ave.
85012
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(602)222-9111
Business Website Address
Business Fax
(602)222-9333
ASPA Effective Date
11/7/2005
Business Name
Physician First Name
Katherine
Physician Middle Initial
Azar
Physician Last Name
Haworth
Practice Name
Specialty

Physician Assistant

Office Designation
Primary
Address
5056 N. Central Ave.
85012
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(602)222-9111
Business Website Address
Business Fax
(602)222-9333
ASPA Effective Date
6/1/2009
Business Name
Physician First Name
Michael
Physician Middle Initial
David
Physician Last Name
Richards
Practice Name
Specialty

Physician Assistant

Office Designation
Primary
Address
5056 N. Central Ave.
85012
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(602)222-9111
Business Website Address
Business Fax
(602)222-9333
ASPA Effective Date
10/5/2009
Business Name
Physician First Name
Elizabeth
Physician Middle Initial
Kathleen
Physician Last Name
Walter
Practice Name
Specialty

Physician Assistant

Office Designation
Primary
Address
5056 N. Central Ave.
85012
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(602)222-9111
Business Website Address
Business Fax
(602)222-9333
ASPA Effective Date
6/2/2014
Business Name
Physician First Name
Ha
Physician Middle Initial
Le
Physician Last Name
Pham
Practice Name
Specialty

Physician Assistant

Office Designation
Primary
Address
5056 N. Central Ave.
85012
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(602)222-9111
Business Website Address
Business Fax
(602)222-9333
ASPA Effective Date
10/5/2020
Business Name
Physician First Name
Nichelle
Physician Middle Initial
Kate
Physician Last Name
Madden
Practice Name
Specialty

Dermatology

Office Designation
Primary
Address
5056 N. Central Ave.
85012
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(602)222-9111
Business Website Address
Business Fax
(602)222-9333
ASPA Effective Date
2/1/2021