| NPI | 1447054671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH KEISER President 619-800-8744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZD0900X Pathology, Dermatopathology |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2025-04-04 |
| Last Update Date | 2025-04-04 |