| NPI | 1205212933 |
|---|---|
| Other Name | DERMVIRGINIA |
| Entity Type | Organization |
| Authorized Contact | LIANA I ABRAMOVA CEO 314-239-1872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101245322) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2024-01-24 |