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Organization

SOLANO DERMATOLOGY ASSOCIATES INC

Active
Parent organization
SOLANO DERMATOLOGY ASSOCIATES INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOLANO DERMATOLOGY ASSOCIATES INC
Authorized official
JOHN KEVIN GEISSE M.D. (OWNER)
(707) 643-5785
Entity
Organization

Contact information

Practice address
6431 FAIRMOUNT AVE, SUITE 3, EL CERRITO, CA 94530-3655
(510) 527-8865
(510) 527-4123
Mailing address
2290 SACRAMENTO ST, VALLEJO, CA 94590-2929
(707) 643-5785
(707) 643-8190

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0023150
CA
Enumeration date
06/22/2009
Last updated
06/22/2009
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