Organization
SOLANO DERMATOLOGY ASSOCIATES INC
Active
Organization
SOLANO DERMATOLOGY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDIE FOWLER (CREDENTIALING SPECIALIST)
(707) 556-5991
Entity
Organization
Contact information
Practice address
600 NUT TREE RD, SUITE 260, VACAVILLE, CA 95687-4669
(707) 452-7222
(707) 452-8507
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
019731
CA
Other
Enumeration date
04/27/2007
Last updated
04/12/2012
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