| NPI | 1700264157 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID E THOMAS Partner 760-230-2805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2018-01-22 |