DERMATOLOGY AFFILIATES MEDICAL GROUP A PROFESSIONAL CORPORATION NPI 1558364869

NPI Information

DERMATOLOGY AFFILIATES MEDICAL GROUP A PROFESSIONAL CORPORATION is a specialist in Modesto, 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. DERMATOLOGY AFFILIATES MEDICAL GROUP A PROFESSIONAL CORPORATION NPI is 1558364869. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1324 NELSON AVE
STE B
MODESTO, CA
ZIP 95350-341
Phone: (209) 524-9481
Fax: (209) 524-9486

The provider's authorized official is Catherine A. Biren .
The authorized official title is President and has the following contact phone number (209) 524-9481.

The enumeration date for this NPI number is 5/31/2005 and was last updated on 1/22/2014.

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:

Other Identifiers

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