| NPI | 1750586954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA PILLOW Senior Partner 870-338-7494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology |
| 207NS0135X Dermatology, Procedural Dermatology | |
| 207NP0225X Dermatology, Pediatric Dermatology | |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2008-02-08 |