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
5757 PACIFIC AVE STE 228, STOCKTON, CA 95207-5159
(209) 490-5050
(209) 779-6211
Mailing address
PO BOX 101868, PASADENA, CA 91189-0055
(956) 803-0711
(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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