NPI | 1700887387 |
---|---|
Doing Business As | CLINICAL SKIN CENTER |
Entity Type | Organization |
Authorized Contact | MITCHELL E. STASHOWER Owner 703-620-8900 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: VA 0101049818) |
Enumeration Date | 2005-08-09 |
Last Update Date | 2011-01-14 |