| NPI | 1801819883 |
|---|---|
| Doing Business As | DERMATOLOGISTS OF SOUTHWEST OHIO, LLC |
| Entity Type | Organization |
| Authorized Contact | JOHN MACKE C.E.O. 937-433-7536 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 1801819883) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: OH 1801819883) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2017-10-16 |