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 |