NPI | 1760932099 |
---|---|
Doing Business As | CHILDRENS DERMATOLOGY SERVICES |
Entity Type | Organization |
Authorized Contact | LORI MARTINEZ Executive Administrator Iii 724-933-1100 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207NP0225X Dermatology, Pediatric Dermatology |
Enumeration Date | 2016-10-11 |
Last Update Date | 2023-09-13 |