Organization
ROBERT M PEPPERCORN MD INC
Active
Other names
Advanced Dermatology & Laser Center Lincoln Dermatology A Medical Corp
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT M PEPPERCORN MD (PRESIDENT)
(530) 671-4182
Entity
Organization
Contact information
Practice address
350 DEL NORTE AVE, YUBA CITY, CA 95991
(530) 671-4182
(530) 671-4835
Mailing address
350 DEL NORTE AVE, YUBA CITY, CA 95991
(530) 671-4182
(530) 671-4835
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0046090
—
CA
Enumeration date
10/24/2006
Last updated
08/22/2020
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