| NPI | 1235224957 |
|---|---|
| Other Name | DERMATOLOGY ASSOCIATES OF CENTRAL PA, PC |
| Entity Type | Organization |
| Authorized Contact | JERRY FORREST MIKESELL President 814-238-6097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2011-03-26 |