| 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 |