NPI | 1902635550 |
---|---|
Doing Business As | SNOW DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | AMY GOULEY SNOW Owner / Physician 541-727-3376 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2024-07-31 |
Last Update Date | 2024-11-18 |