| NPI | 1417018375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID ALLEN SPOTT President Of Corporation 301-868-7077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MD D0015375) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |