| NPI | 1063538601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS R. SWINEHART President 559-432-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA G415040) |
| Additional Taxonomies | 207ND0900X Dermatology Dermatopathology (Licence: CA G415040) |
| 207NS0135X Dermatology Procedural Dermatology (Licence: CA G415040) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2015-06-15 |