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Southwest Skin Specialists LLC

Southwest Skin Specialists LLC
Address: 14155 N 83rd Ave
85381
Physician First Name:
Mary
Physician Middle Initial:
Frances
Physician Last Name:
Fredenberg
Practice Name:
Specialty:

Dermatology

Office Designation:
Primary
Suite:
Suite 110
City:
Peoria
State:
AZ
County:
Maricopa
Business Phone Number:
(623)215-0911
Business Fax:
(623)215-0912
ASPA Effective Date:
11/9/1987
Southwest Skin Specialists LLC
Address: 14155 N 83rd Ave
85381
Physician First Name:
Theresa
Physician Middle Initial:
T.
Physician Last Name:
Magne
Practice Name:
Specialty:

Dermatology

Office Designation:
Primary
Suite:
Suite 110
City:
Peoria
State:
AZ
County:
Maricopa
Business Phone Number:
(623)215-0911
Business Fax:
(623)215-0912
ASPA Effective Date:
11/6/1995
Southwest Skin Specialists LLC
Address: 14155 N 83rd Ave
85381
Physician First Name:
Adam
Physician Middle Initial:
Thomas
Physician Last Name:
Sorensen
Practice Name:
Specialty:

Dermatology

Office Designation:
Primary
Suite:
Suite 110
City:
Peoria
State:
AZ
County:
Maricopa
Business Phone Number:
(623)215-0911
Business Fax:
(623)215-0912
ASPA Effective Date:
8/3/2015
Southwest Skin Specialists LLC
Address: 14155 N 83rd Ave
85381
Physician First Name:
Douglas
Physician Middle Initial:
James
Physician Last Name:
Heiner
Practice Name:
Specialty:

Dermatology

Office Designation:
Primary
Suite:
Suite 110
City:
Peoria
State:
AZ
County:
Maricopa
Business Phone Number:
(623)215-0911
Business Fax:
(623)215-0912
ASPA Effective Date:
7/6/2015
Southwest Skin Specialists, LLC
Address: 14155 N. 83rd Avenue
85381
Physician First Name:
Lisa
Physician Middle Initial:
Mary
Physician Last Name:
Greenan
Practice Name:
Specialty:

Physician Assistant

Office Designation:
Primary
Suite:
Suite 110
City:
Peoria
State:
AZ
County:
Maricopa
Business Phone Number:
(623)215-0911
Business Fax:
(623)215-0912
ASPA Effective Date:
12/3/2018
Southwest Skin Specialists, LLC
Address: 14155 N. 83rd Avenue
85381
Physician First Name:
Elizabeth
Physician Middle Initial:
Ann
Physician Last Name:
Penfold
Practice Name:
Specialty:

Physician Assistant

Office Designation:
Primary
Suite:
Suite 110
City:
Peoria
State:
AZ
County:
Maricopa
Business Phone Number:
(623)215-0911
Business Fax:
(623)215-0912
ASPA Effective Date:
11/5/2018
Southwest Skin Specialists, LLC
Address: 14155 N. 83rd Avenue
85381
Physician First Name:
Julie
Physician Middle Initial:
Lynn
Physician Last Name:
Taubert
Practice Name:
Specialty:

Physician Assistant

Office Designation:
Primary
Suite:
Suite 110
City:
Peoria
State:
AZ
County:
Maricopa
Business Phone Number:
(623)215-0911
Business Fax:
(623)215-0912
ASPA Effective Date:
11/5/2018
Southwest Skin Specialists, LLC
Address: 14155 N. 83rd Avenue
85381
Physician First Name:
Haley
Physician Middle Initial:
E.
Physician Last Name:
Meier
Practice Name:
Specialty:

Physician Assistant

Office Designation:
Primary
Suite:
Suite 110
City:
Peoria
State:
AZ
County:
Maricopa
Business Phone Number:
(623)215-0911
Business Fax:
(623)215-0912
ASPA Effective Date:
11/5/2018