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Organization

TRACESIDE DERMATOLOGY AND ALLERGY PLC

Active
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Organization

TRACESIDE DERMATOLOGY AND ALLERGY PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROBERT S VALET MD (OWNER)
(615) 212-3012
Entity
Organization

Contact information

Practice address
4230 HARDING PIKE STE 703, ST. THOMAS WEST, EAST PLAZA, NASHVILLE, TN 37205-2013
(615) 212-3012
Mailing address
4230 HARDING PIKE STE 703, ST. THOMAS WEST, EAST PLAZA, NASHVILLE, TN 37205-2013
(615) 212-3012

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
02/06/2017
Last updated
02/06/2017
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