Organization
DAVIS DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EARLYN C. NOLL MD (OWNER)
(530) 756-5758
Entity
Organization
Contact information
Practice address
132 E STREET, SUITE 220, DAVIS, CA 95616-4651
(530) 756-5758
(530) 756-5753
Mailing address
132 E STREET, SUITE 220, DAVIS, CA 95616-4651
(530) 756-5758
(530) 756-5753
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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