NPI | 1568481901 |
---|---|
Doing Business As | HOUCK DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | GREGORY M HOUCK Do 239-390-3376 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: FL OS8594) |
Enumeration Date | 2006-07-18 |
Last Update Date | 2023-04-03 |