Provider First Line Business Practice Location Address:
CARSON DERMATOLOGY
Provider Second Line Business Practice Location Address:
1100 SOUTH CARSON STREET
Provider Business Practice Location Address City Name:
CARSON CITY
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
775-883-7811
Provider Business Practice Location Address Fax Number:
775-883-7871
Provider Enumeration Date:
04/21/2006