| NPI | 1295792505 |
|---|---|
| Doing Business As | MID VALLEY DERMATOLOGICAL SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | ALLAN STANLEY WIRTZER Medical Director 818-907-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CA 261QA1903X) |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2008-11-13 |