Organization
NORCAL SKIN DISEASE AND SURGERY INC
Active
Other names
NorCal Dermatology Medical Surgical Cosmetic
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA BROPHY CMOM, CMA (PRACTICE MANAGER)
(707) 527-9517
Entity
Organization
Contact information
Practice address
196 WIKIUP DR, SANTA ROSA, CA 95403-7773
(707) 527-9517
(707) 527-9913
Mailing address
196 WIKIUP DR, SANTA ROSA, CA 95403-7773
(707) 527-9517
(707) 527-9913
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
A55665
CA
Other
Enumeration date
12/10/2008
Last updated
11/22/2022
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