DERMATOLOGY ASSOC OF CENTRAL PA, PC

STATE COLLEGE, PA
NPI1235224957
Entity TypeOrganization
Authorized ContactJERRY FORREST MIKESELL
President
814-238-6097
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2006-10-04
Last Update Date2011-03-26
Business Address
DERMATOLOGY ASSOC OF CENTRAL PA, PC
1393 N ATHERTON ST
STATE COLLEGE, PA 16803-2932
Phone number: 814-238-6097
Mailing Address
DERMATOLOGY ASSOC OF CENTRAL PA, PC
1393 N ATHERTON ST
STATE COLLEGE, PA 16803-2932
Phone number: 814-238-6097
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