GENESIS DERMATOLOGY

LA GRANDE, OR
NPI1659144111
Entity TypeOrganization
Authorized ContactBRYCE A EARLE
Chief Operations Manager
541-663-0007
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2023-11-06
Last Update Date2023-11-06
Business Address
GENESIS DERMATOLOGY
1902 4TH ST STE 3
LA GRANDE, OR 97850-2558
Phone number: 541-663-0007
Mailing Address
GENESIS DERMATOLOGY
1902 4TH ST STE 3
LA GRANDE, OR 97850-2558
Phone number: 541-663-0007