| NPI | 1720089279 |
|---|---|
| Doing Business As | DERMATOLOGY ASSOCIATES & SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | NELSON E. VELAZQUEZ Sole Owner 304-252-2673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology |
| 207N00000X Dermatology | |
| 207ND0900X Dermatology, Dermatopathology | |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2017-02-15 |