| NPI | 1083478994 |
|---|---|
| Doing Business As | BOX CANYON DERMATOLOGY & SKIN CANCER |
| Entity Type | Organization |
| Authorized Contact | DANIEL TAHERI CEO 725-465-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-02-12 |