| NPI | 1659361418 |
|---|---|
| Other Name | DERMATOLOGY CENTER PC A NEW MEXICO CORPORATION |
| Entity Type | Organization |
| Authorized Contact | ROBERT J SEGAL President 505-522-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NM 95-143) |
| Enumeration Date | 2005-10-24 |
| Last Update Date | 2010-09-03 |