NPI | 1225020852 |
---|---|
Other Name | THE STOUGH CLINIC OF DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | ADAM S STIBICH Owner / Provider / Physician 501-623-6100 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2005-08-19 |
Last Update Date | 2021-09-08 |