| NPI | 1932575792 |
|---|---|
| Doing Business As | NORTHWESTERN DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | MARY E PIGEON Credentialing Specialist 802-524-8954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2018-10-23 |