| NPI | 1457551889 |
|---|---|
| Former Legal Business Name | DERMATOLOGY SURGERY CENTER GROUP, LLC |
| Entity Type | Organization |
| Authorized Contact | DAMITA K GILFORD Director Of Business Office Service 402-763-1518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2022-05-10 |