DERMATOLOGY WEST, LLC

WESTLAKE, OH
NPI1053521021
Entity TypeOrganization
Authorized ContactKYLE LOREN WAGAMON
Owner
440-858-3176
Organization Subpart ?No
Primary Taxonomy261Q00000X 
Enumeration Date2007-05-22
Last Update Date2020-08-22
Business Address
DERMATOLOGY WEST, LLC
26410 CENTER RIDGE RD
WESTLAKE, OH 44145-4067
Phone number: 440-858-3176
Mailing Address
DERMATOLOGY WEST, LLC
1445 CASTRO ST
SAN FRANCISCO, CA 94114-3717
Phone number: 440-858-3176