| NPI | 1558812875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH A SKIDMORE Chief Executive Officer 707-573-6933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2016-11-29 |