| NPI | 1013557933 |
|---|---|
| Doing Business As | ADVANCED DERMATOLOGY & SKIN SURGERY |
| Entity Type | Organization |
| Authorized Contact | BRET S BLACKHART Owner 775-336-3624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology |
| 207NS0135X Dermatology, Procedural Dermatology | |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |