| NPI | 1760259667 |
|---|---|
| Doing Business As | MAINE DIRECT DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | ALLISON GODDARD Founder 816-510-7068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2023-12-11 |
| Last Update Date | 2023-12-11 |