NPI | 1588397319 |
---|---|
Doing Business As | SWAE SKIN DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | LAURA MCGEVNA Owner 802-864-9522 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2022-07-08 |
Last Update Date | 2022-12-09 |