Organization
CERTIFIED DERMATOLOGY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOK LUCIEN BROUHA MD, PHD (PRESIDENT)
(858) 454-7123
Entity
Organization
Contact information
Practice address
1030 W 24TH ST STE C-2, YUMA, AZ 85364-8319
(928) 247-6825
(928) 247-6827
Mailing address
1030 W 24TH ST STE C-2, YUMA, AZ 85364-8319
(928) 247-6825
(928) 247-6827
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A97902
CA
Other
Enumeration date
03/26/2014
Last updated
05/28/2015
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