| NPI | 1629377221 |
|---|---|
| Doing Business As | BON SECOURS SURGICAL DERMATOLOGY CENTER |
| Entity Type | Organization |
| Authorized Contact | STEPHAN QUIRICONI CFO 804-281-8301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2019-08-30 |