| NPI | 1134410764 |
|---|---|
| Doing Business As | SKIN DERMATOLOGY & AESTHETICS |
| Entity Type | Organization |
| Authorized Contact | CHAD M HILLYER Owner 402-916-5664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2011-04-30 |
| Last Update Date | 2011-04-30 |