| NPI | 1619517539 |
|---|---|
| Doing Business As | ADVANCED DERMATOLOGY & SKIN SURGERY |
| Entity Type | Organization |
| Authorized Contact | BRET S BLACKHART Owner 775-336-3624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |