| NPI | 1841433182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANYA E BANDT President 415-259-0131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A65186) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A65186) |
| 207ND0900X Dermatology, Dermatopathology (Licence: CA A65186) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: CA A65186) | |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2011-03-10 |