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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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