Organization
MD DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR S MACIAS MD (DIRECTOR)
(559) 431-2397
Entity
Organization
Contact information
Practice address
319 MALL DR, HANFORD, CA 93230-5950
(559) 431-2397
Mailing address
7115 N CHESTNUT AVE STE 101, FRESNO, CA 93720-0361
(559) 431-2397
(559) 472-3382
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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