| NPI | 1730396680 |
|---|---|
| Doing Business As | FREE STATE DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | MATTHEW G BUXTON President 785-749-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: KS 04-26254) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |