| NPI | 1871859595 |
|---|---|
| Doing Business As | ASSOCIATED DERMATOLOGISTS |
| Entity Type | Organization |
| Authorized Contact | JOE MICHAEL HAZEL President 937-399-5911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 91679) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-04-06 |