NPI | 1164742383 |
---|---|
Doing Business As | SCSCNAPLES |
Entity Type | Organization |
Authorized Contact | DAVID STEPHEN FREITAG Owner 239-594-3131 |
Organization Subpart ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: FL ME103242) |
Enumeration Date | 2010-06-10 |
Last Update Date | 2011-08-31 |