NPI | 1962431627 |
---|---|
Doing Business As | DESCHUTES DERMATOLOGY CENTER |
Entity Type | Organization |
Authorized Contact | LESLIE A CARTER Physician/Owner 541-330-0900 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: OR MD25131) |
Enumeration Date | 2006-07-02 |
Last Update Date | 2014-02-17 |