| NPI | 1336979046 |
|---|---|
| Doing Business As | CK DERM - MEDFORD |
| Entity Type | Organization |
| Authorized Contact | KRISTINA MICHELLE HERNANDEZ Billing Manager 530-241-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2024-08-06 |