| NPI | 1104077056 |
|---|---|
| Doing Business As | RENEW DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | JAMES F ROBINSON President 804-440-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101024120) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2009-02-01 |