Organization
BROUHA DERMATOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALANA ERICKSON (DIRECTOR)
(208) 315-4141
Entity
Organization
Contact information
Practice address
1319 BERYL ST, SAN DIEGO, CA 92109-2102
(858) 281-5181
Mailing address
1319 BERYL ST, SAN DIEGO, CA 92109-2102
(858) 281-5181
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
A97902
CA
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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