| NPI | 1023215662 |
|---|---|
| Doing Business As | VITALOGY SKINCARE |
| Entity Type | Organization |
| Authorized Contact | JOHN RAMM CFO 512-930-3909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX M5607) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TX M5607) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2017-02-06 |