PREMIER DERMATOLOGY & SKIN RENEWAL CENTER

Clinical & Laboratory Dermatological Immunology Physician · BENTONVILLE, AR

Organization Active NPI 1912912361

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Clinical & Laboratory Dermatological Immunology Physician207NI0002XAR
Dermatology Physician207N00000XE3363AR
Pediatric Dermatology Physician207NP0225XE3363AR
Procedural Dermatology Physician207NS0135XE3363AR

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.

PREMIER DERMATOLOGY & SKIN RENEWAL CENTER — NPI 1912912361