| NPI | 1376204719 |
|---|---|
| Doing Business As | HARBOR DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL MARK NELSON Owner 253-400-1202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2022-01-07 |
| Last Update Date | 2022-01-07 |