Organization
ARTIUS DERMATOLOGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD MISTAK (CFO)
(361) 248-1505
Entity
Organization
Contact information
Practice address
296 COTTAGE AVE, MANTECA, CA 95336-4942
(209) 624-7006
(209) 554-4601
Mailing address
PO BOX 101868, PASADENA, CA 91189-0055
(956) 803-0748
(956) 803-0711
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
05/06/2020
Last updated
05/06/2020
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