Organization
INTEGRATED DERMATOLOGY OF SANTA FE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERRY CHRISTOPHER (AUTHORIZED OFFICIAL)
(561) 314-2000
Entity
Organization
Contact information
Practice address
1850 OLD PECOS TRL, SUITE J, SANTA FE, NM 87505-4760
(505) 988-5120
Mailing address
902 CLINT MOORE RD, SUITE 226, BOCA RATON, FL 33487-2800
(561) 314-2000
(561) 431-2821
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/05/2015
Last updated
05/05/2015
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