Organization Name: | TRI COUNTY DERMATOLOGY INC |
NPI Number: | 1013108745 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MONTE E FOX (VICE PRESIDENT) |
Mailing Address: | 421 Graham Rd Suite C Cuyahoga Falls |
State: | OH US |
Postal Code: | 442211344 |
Phone Number: | 3309299009 |
Fax Number: | 3309296264 |
NPI Enumeration Date: | 08/07/2007 |
NPI Last Update Date: | 08/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 34005284 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |