NPI | 1093864985 |
---|---|
Doing Business As | FAMILY DERMATOLOGY PARTNERSHIP |
Entity Type | Organization |
Authorized Contact | LEE S AUSTIN Dermatologist Co Owner 909-948-8888 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA G43777) |
Additional Taxonomies | 207N00000X Dermatology (Licence: CA C39629) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2011-04-21 |