Organization
STEPHEN VANNUCCI DERMATOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY-ANNE CLARKE (PRACTICE ADMINISTRATOR)
(530) 342-3686
Entity
Organization
Contact information
Practice address
251 COHASSET RD, CHICO, CA 95926-2241
(530) 342-3686
(530) 342-7285
Mailing address
251 COHASSET RD, CHICO, CA 95926-2241
(530) 342-3686
(530) 342-7285
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0900X
Dermatopathology Physician
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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