Organization
PURE SKIN DERMATOLOGY & ONCOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTIAN ELIZER (OWNER)
(256) 684-7066
Entity
Organization
Contact information
Practice address
8331 MADISON BLVD STE 400, MADISON, AL 35758-2074
(256) 684-7066
Mailing address
8331 MADISON BLVD STE 400, MADISON, AL 35758-2074
(256) 684-7066
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2019
Last updated
11/02/2022
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