NPI | 1083332951 |
---|---|
Doing Business As | UNIVERSITY DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | BETH A MAYNARD Vice President 865-585-8986 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2022-08-17 |
Last Update Date | 2025-08-26 |