| NPI | 1154117463 |
|---|---|
| Doing Business As | PREMIER DERMATOLOGY & AESTHETICS |
| Entity Type | Organization |
| Authorized Contact | SARA FAST Practice Director 479-876-8501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2025-04-15 |
| Last Update Date | 2025-08-13 |