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Organization

SKIN CANCER DERMATOLOGY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CALVIN L DAY MD (MEDICAL DOCTOR)
(210) 601-6502
Entity
Organization

Contact information

Practice address
7979 BROADWAY STE 202, SAN ANTONIO, TX 78209-2657
(210) 601-6502
(210) 908-9666
Mailing address
7979 BROADWAY STE 202, SAN ANTONIO, TX 78209-2657
(210) 601-6502
(210) 908-9666

Taxonomy

Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1831379692
NPI
01
45D2258975
CLIA
TX
Enumeration date
01/16/2020
Last updated
11/03/2023
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