Organization
ADVANCED INSTITUTE OF DERMATOLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARYAM SICKINGER D.O. (PRESIDENT)
(760) 568-9300
Entity
Organization
Contact information
Practice address
41990 COOK ST # F1006, PALM DESERT, CA 92211-6100
(760) 568-9300
(760) 568-9331
Mailing address
41990 COOK ST # F1006, PALM DESERT, CA 92211-6100
(760) 568-9300
(760) 568-9331
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
20A10108
CA
Other
Enumeration date
06/20/2011
Last updated
05/27/2016
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