| NPI | 1255751707 |
|---|---|
| Doing Business As | PURE DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | TERESA P. MANN President 406-586-7873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2020-09-01 |