NPI | 1417782665 |
---|---|
Doing Business As | ARIZONA DERMATOLOGY GROUP, A FOREFRONT DERMATOLOGY PRACTICE |
Entity Type | Organization |
Authorized Contact | BETSY J WERNLI President 920-482-0671 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
208200000X Plastic Surgery | |
2082S0105X Plastic Surgery, Surgery of the Hand | |
Enumeration Date | 2024-09-06 |
Last Update Date | 2024-09-06 |