NPI | 1063189348 |
---|---|
Doing Business As | RENO TAHOE DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | BILLIE CASSE Owner 775-622-2026 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207NS0135X Dermatology Procedural Dermatology |
Enumeration Date | 2021-08-25 |
Last Update Date | 2022-05-12 |