NPI | 1609060722 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL J. HUETHER Medical Director 520-887-3333 |
Organization Subpart ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
Additional Taxonomies | 207N00000X Dermatology |
Enumeration Date | 2007-08-31 |
Last Update Date | 2022-10-06 |