| NPI | 1902626047 |
|---|---|
| Former Legal Business Name | DESERT DERMATOLOGY AND SURGERY LLC |
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN B ANDERSON Physician Owner 307-413-3752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2024-10-14 |