NPI | 1568709707 |
---|---|
Doing Business As | SOUTHWEST DERMATOLOGY CENTER |
Entity Type | Organization |
Authorized Contact | MARTIN J SAFKO President 702-731-0933 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NV 5369) |
Enumeration Date | 2013-01-08 |
Last Update Date | 2013-01-08 |