NPI | 1255845657 |
---|---|
Doing Business As | KELLY BICKLE, MD |
Entity Type | Organization |
Authorized Contact | KELLY BICKLE Owner 310-878-4590 |
Organization Subpart ? | No |
Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: CA A95166) |
Enumeration Date | 2017-11-21 |
Last Update Date | 2017-11-21 |