| NPI | 1619058559 |
|---|---|
| Other Name | CHILDREN'S DERMATOLOGY SERVICES |
| Entity Type | Organization |
| Authorized Contact | LORI MARTINEZ Executive Administrator Iii 724-933-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2023-09-13 |