NPI | 1235335902 |
---|---|
Other Name | ALLAN S WIRTZER MD |
Entity Type | Organization |
Authorized Contact | ROCELYN LUCAS TAYLOR Billing Supervisor 818-907-7546 |
Organization Subpart ? | No |
Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA G21007) |
Enumeration Date | 2007-06-21 |
Last Update Date | 2008-11-11 |