| NPI | 1568661692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PAUL MILLIGAN Owner/Physician 760-328-8884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA G46979) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2018-03-01 |