Solano Dermatology Associates INC
Dermatology in Vacaville, CA. Organization (NPI-2).
NPI number1356561682
StatusActive
Last updated in NPPESApr 12, 2012
Details
- NPI
- 1356561682
- Entity type
- Organization (NPI-2)
- Legal business name
- Solano Dermatology Associates INC
- Organization subpart
- No
- Enumeration date
- Apr 27, 2007
- Last updated
- Apr 12, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 019731 | CA | Yes |
Practice location
600 Nut Tree RdSuite 260
Vacaville, CA 95687-4669
Phone 707-452-7222 · Fax 707-452-8507
Mailing address
2290 Sacramento StVallejo, CA 94590-2929
Phone 707-643-5785 · Fax 707-643-5876
Authorized official
Sandie Fowler
Credentialing Specialist
7075565991
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