| NPI | 1902452360 |
|---|---|
| Doing Business As | ELITE DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | KRISTIN AUTRY Manager 707-770-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2024-12-30 |