NPI | 1548692197 |
---|---|
Doing Business As | OHIO VALLEY DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | GREGORY GANZER Doctor 304-233-3240 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: WV 992CW) |
Enumeration Date | 2013-08-06 |
Last Update Date | 2013-08-06 |