NPI | 1184676538 |
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Former Legal Business Name | BRESSINCK, GIBSON, PARKER, SANGSTER, SMITH, BRUYNEEL DERMATOLOGY, P.A. |
Entity Type | Organization |
Authorized Contact | DINA DAMROW Office Administrator 501-227-8422 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology |
Enumeration Date | 2006-05-16 |
Last Update Date | 2017-01-30 |