DERMATOLOGIC PLASTIC SURGERY CLINICS OF CA NPI 1306960240

NPI Information

DERMATOLOGIC PLASTIC SURGERY CLINICS OF CA is a specialist in San Luis Obispo, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DERMATOLOGIC PLASTIC SURGERY CLINICS OF CA NPI is 1306960240. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

84 SANTA ROSA ST
SAN LUIS OBISPO, CA
ZIP 93405-812
Phone: (806) 543-5052
Fax: (805) 543-1639

The provider's authorized official is Paul Stephen Collins .
The authorized official title is President and has the following contact phone number (805) 543-5052.

The enumeration date for this NPI number is 3/17/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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