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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