| NPI | 1285509323 |
|---|---|
| Doing Business As | MAVERICK SKIN AND CANCER |
| Entity Type | Organization |
| Authorized Contact | CLINTON MARTIN Owner 435-599-7877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2025-10-08 |
| Last Update Date | 2025-10-08 |