NPI | 1952716516 |
---|---|
Doing Business As | HUNTER PHILLIPS DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | MICHAEL M GUTIERREZ AO Le Owner 4072-999-7333 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: FL ME0050355) |
Enumeration Date | 2014-06-23 |
Last Update Date | 2014-06-23 |