| NPI | 1457577074 |
|---|---|
| Doing Business As | MARASCALCO DERMATOLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOHN A MARASCALCO President 662-227-4463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2008-06-18 |