| NPI | 1033883285 |
|---|---|
| Doing Business As | CAPSTONE DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | JACQUELYN RENEE BLOMKER Director Of Revenue Cycle 907-357-9590 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2021-08-02 |