| NPI | 1255590808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY ALAN BARTLOW Owner 949-718-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A24898) |
| Enumeration Date | 2008-06-07 |
| Last Update Date | 2017-02-06 |