NPI | 1255196655 |
---|---|
Doing Business As | ARIZONA DERMATOLOGY GROUP, A FOREFRONT DERMATOLOGY PRACTICE |
Entity Type | Organization |
Authorized Contact | BETSY J WERNLI President 920-482-0671 |
Organization Subpart ? | No |
Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology |
Additional Taxonomies | 207ZP0101X Pathology, Anatomic Pathology |
Enumeration Date | 2024-02-15 |
Last Update Date | 2024-02-15 |