| NPI | 1992978399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE RONALD CARLTON M.D./Owner 707-448-2218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: CA G22448) |
| Enumeration Date | 2008-04-07 |
| Last Update Date | 2024-05-07 |