| NPI | 1528159290 |
|---|---|
| Former Legal Business Name | HIGH DESERT DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | STEVEN E KRAUSE Owner 775-332-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NV 4230) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |