NPI | 1760034045 |
---|---|
Doing Business As | SWIFTWATER DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | KRISTIN L EASTMAN Md/Owner 907-398-3376 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2019-07-16 |
Last Update Date | 2022-10-04 |