| NPI | 1730106642 |
|---|---|
| Doing Business As | ASPEN AND VAIL DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | GHEORGHE PUSTA CEO 512-960-5760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2023-12-07 |