| NPI | 1972668903 |
|---|---|
| Doing Business As | JEFFERSON CITY DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY LEE PATRICK President 573-635-5264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2018-12-26 |