| NPI | 1770800930 |
|---|---|
| Doing Business As | FRONTIER DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | MALISSA KOBBEVIK Credentialing Manager 360-375-2038 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology |
| 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology | |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2024-10-17 |