NPI | 1326263799 |
---|---|
Other Name | MADISON DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | EDUARDO GABRIEL RIVERA Owner 812-348-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology |
Enumeration Date | 2007-04-13 |
Last Update Date | 2020-08-22 |