| NPI | 1568582369 |
|---|---|
| Doing Business As | ADVANCED DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | VICKY KORY Secretary, Office Manager 314-504-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2020-08-22 |