NPI | 1548810401 |
---|---|
Doing Business As | SMART SKIN DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | MATTHEW WALKER Director Of Operations 385-273-3376 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2019-09-12 |
Last Update Date | 2025-09-08 |