| NPI | 1942553433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER WEYER President 520-977-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: AZ 006021) |
| Enumeration Date | 2012-10-21 |
| Last Update Date | 2023-07-26 |