Organization
JUNIPER DERMATOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN GAMMON MD (MANAGER)
(512) 808-4777
Entity
Organization
Contact information
Practice address
3801 N CAPITAL OF TEXAS HWY STE J225, AUSTIN, TX 78746-1499
(805) 453-6060
Mailing address
PO BOX 1030, SANTA YNEZ, CA 93460-1030
(512) 808-4777
(512) 808-4779
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
Other
Enumeration date
07/10/2021
Last updated
08/14/2023
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