NPI | 1982760963 |
---|---|
Doing Business As | WASHINGTON DERMATOLOGY CONSULTANTS |
Entity Type | Organization |
Authorized Contact | KENNETH W NEAL Director Of Dermatologic Surgery 571-431-6175 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101237321) |
Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: VA 0101237321) |
207NS0135X Dermatology Procedural Dermatology (Licence: VA 0101237321) | |
Enumeration Date | 2006-12-28 |
Last Update Date | 2011-01-13 |