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An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Specialist |
174400000X |
| NPI # | 1629002167 |
| LBN Legal business name | UPLAND DERMATOLOGY CENTER |
| Authorized official | JOY FORTICH - (BILLING SUPERVISOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/10/2006 |
| Last updated | 08/22/2020 - About 6 years ago |
| Identifiers | n/a |
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UPLAND DERMATOLOGY CENTER
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UPLAND DERMATOLOGY CENTER