| NPI | 1447619747 |
|---|---|
| Doing Business As | HANCOCK DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | LORI SANFORD Managing Member 317-460-1775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: IN 01072559A) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2020-02-11 |