| NPI | 1366208456 |
|---|---|
| Doing Business As | THE GRAND RESORT DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | ROBERT T MOOSALLY Medical Director 330-609-8814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-04-17 |