NPI | 1982104709 |
---|---|
Doing Business As | CHRISTUS ST. VINCENT DERMATOLOGY SPECIALISTS |
Entity Type | Organization |
Authorized Contact | LILLIAN MONTOYA CEO 505-913-5201 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2018-02-19 |
Last Update Date | 2020-06-11 |