| NPI | 1073608006 |
|---|---|
| Doing Business As | CHCA DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | CHERISH FLOWERS Enrollment Manager 267-425-9408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2025-02-06 |