| NPI | 1952760308 |
|---|---|
| Doing Business As | CLOVIS DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | RAYMOND KIDWELL CEO 559-298-7220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2016-02-14 |
| Last Update Date | 2021-03-23 |