| NPI | 1043545957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHIE L BYERS Medical Billing Manager 661-974-7954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207ND0900X Dermatology, Dermatopathology | |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2009-10-09 |