NPI | 1932629722 |
---|---|
Doing Business As | DERMATOLOGY AND SKIN CANCER CENTER OF SOUTHERN INDIANA |
Entity Type | Organization |
Authorized Contact | DONALD DUVAL CFO 812-738-4251 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2017-06-22 |
Last Update Date | 2023-11-30 |