| NPI | 1306700588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY SEITZ Owner 307-635-8299 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology |
| Enumeration Date | 2025-12-12 |
| Last Update Date | 2025-12-12 |