NPI | 1780852368 |
---|---|
Doing Business As | CARSON DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | DAVID ALAN TACK President 775-883-7811 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery |
207ND0900X Dermatology Dermatopathology | |
207NS0135X Dermatology Procedural Dermatology | |
Enumeration Date | 2008-02-15 |
Last Update Date | 2015-01-22 |