| NPI | 1225385883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN L. SWENGEL Owner 408-688-2082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA G41972) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2019-11-13 |