NPI | 1154363752 |
---|---|
Doing Business As | ALASKA DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | KELLY MILLEN Owner 907-562-2275 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: AK 432761) |
Enumeration Date | 2006-06-11 |
Last Update Date | 2021-03-25 |