| NPI | 1801622642 |
|---|---|
| Doing Business As | JASPER DERMATOLOGY AT RASTORE |
| Entity Type | Organization |
| Authorized Contact | DANA MCCULLAR C RN P/Owner/CEO 205-282-1802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2024-09-09 |
| Last Update Date | 2024-09-09 |