| NPI | 1538645775 |
|---|---|
| Doing Business As | RIVERCHASE DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | JENNIFER L TOTH Credentialing Mgr 239-232-1180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2018-09-19 |