| NPI | 1154593374 |
|---|---|
| Doing Business As | NEVADA DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | ANDREW K BEAN President 515-210-4855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2008006946) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-10-23 |