| NPI | 1477337640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM JON TINKLEPAUGH Dermatologist/Owner 571-529-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207NS0135X Dermatology, Procedural Dermatology | |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2024-10-31 |