| NPI | 1104562404 |
|---|---|
| Doing Business As | FRONTIER SKIN AND CANCER |
| Entity Type | Organization |
| Authorized Contact | CLINTON MARTIN Member 928-963-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2023-01-09 |