| NPI | 1215076112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT DOUGLAS KRASNER Owner 434-964-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101237413) |
| Additional Taxonomies | 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology (Licence: VA 0101237413) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: VA 0101237413) | |
| 207ND0900X Dermatology, Dermatopathology (Licence: VA 0101237413) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |