Organization
PALO ALTO DERMATOLOGY INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG MORGANROTH M.D. (PRESIDENT)
(650) 546-4929
Entity
Organization
Contact information
Practice address
301 HIGH ST, PALO ALTO, CA 94301-1043
(650) 546-4929
(650) 546-4884
Mailing address
301 HIGH ST, PALO ALTO, CA 94301-1043
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
—
—
207NP0225X
Pediatric Dermatology Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
08/01/2024
Last updated
08/19/2024
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