NPI | 1497727028 |
---|---|
Doing Business As | BLACK HILLS DERMATOLOGY AND LASER SURGERY CENTRE |
Entity Type | Organization |
Authorized Contact | JASON W GORMAN Administrator 605-341-5565 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: SD 0370) |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: SD 0370) |
207ND0900X Dermatology, Dermatopathology (Licence: SD 0370) | |
207NP0225X Dermatology, Pediatric Dermatology (Licence: SD 0370) | |
Enumeration Date | 2006-02-07 |
Last Update Date | 2008-05-20 |