Organization
SOLANO DERMATOLOGY ASSOCIATES INC
Active
Parent organization
SOLANO DERMATOLOGY ASSOCIATES INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOLANO DERMATOLOGY ASSOCIATES INC
Authorized official
DR. JOHN KEVIN GEISSE M.D. (OWNER)
(707) 643-5785
Entity
Organization
Contact information
Practice address
480 CHADBOURNE RD, STE 201, FAIRFIELD, CA 94534-9647
(707) 643-5785
(707) 643-5876
Mailing address
2290 SACRAMENTO ST, VALLEJO, CA 94590-2929
(707) 643-5785
(707) 643-5876
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0023150
—
CA
Enumeration date
01/25/2009
Last updated
01/25/2009
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