| NPI | 1669340048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMERON CHESNUT Owner 509-343-0250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2025-10-27 |