| NPI | 1457335531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MARGARET DOBSON Sole Owner/Physician Dermatologist 985-542-9333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: LA 023067) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2007-10-24 |