NPI | 1861688434 |
---|---|
Doing Business As | CATALINA DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | RONALD MAYNARD MANN Manager 520-529-8883 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: AZ 31923) |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: AZ 31923) |
Enumeration Date | 2007-09-18 |
Last Update Date | 2007-09-18 |