Individual
DR. DAREN ALEXANDER FOMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0102205409
VA
207N00000X
Dermatology Physician
05-44847
KS
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
91371
SC
Other
Enumeration date
05/26/2017
Last updated
05/20/2026
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