NPI | 1104368489 |
---|---|
Doing Business As | WEST COUNTY DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | CATHERINE ROGERS Senior Crendentialing Coordinator 763-367-7110 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2016-11-17 |
Last Update Date | 2023-01-25 |