Organization
SAN LUIS DERMATOLOGY, INC.
Active
Organization
SAN LUIS DERMATOLOGY, INC.
Active
Other names
San Luis Dermatology & Laser Clinic Inc, R Jeffrey Herten MD A Medical Corporation
Organization subpart
No
Provider details
NPI number
Authorized official
MARY TOLBERT (PRACTICE MANAGER)
(805) 541-2650
Entity
Organization
Contact information
Practice address
15 SANTA ROSA ST, SAN LUIS OBISPO, CA 93405-1811
(805) 541-2650
(805) 541-4043
Mailing address
15 SANTA ROSA ST, SAN LUIS OBISPO, CA 93405-1811
(805) 541-2650
(805) 541-4043
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/14/2006
Last updated
06/26/2024
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