Organization
PRECISION DERMATOLOGY, INC.
Active
Organization
PRECISION DERMATOLOGY, INC.
Active
Parent organization
PRECISION DERMATOLOGY, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRECISION DERMATOLOGY, INC.
Authorized official
DR. TRACY B EVANS M.D. (PRESIDENT)
(415) 202-1540
Entity
Organization
Contact information
Practice address
7064 CORLINE CT, SUITE C, SEBASTOPOL, CA 95472-4528
(415) 202-1540
Mailing address
2100 WEBSTER ST, SUITE 305, SAN FRANCISCO, CA 94115-2373
(415) 202-1540
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A96572
CA
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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