Organization
DERMATOLOGY HEALTH SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVER WISCO DO (PRESIDENT)
(210) 632-5544
Entity
Organization
Contact information
Practice address
1693 SW CHANDLER AVE STE 250, BEND, OR 97702-3231
(210) 632-5544
Mailing address
PO BOX 831, BEND, OR 97709-0831
(210) 632-5544
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
Other
Enumeration date
04/06/2019
Last updated
04/06/2019
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