NPI | 1245355999 |
---|---|
Doing Business As | ANNAPOLIS DERMATOLOGY ASSOCIATES |
Entity Type | Organization |
Authorized Contact | LISA J RENFRO Owner Physician 410-224-5700 |
Organization Subpart ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C0002046) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2007-10-16 |