Innovative Dermatology Alliance Ca

NPI #1083188221 in Visalia, California

Provider Information

NPI Number: 1083188221
Entity Type: Organization
Organization Name: Innovative Dermatology Alliance Ca
Primary Specialty: Dermatology
Enumeration Date: Jan 21, 2019
Last Updated: May 16, 2023

Practice Location

Address: 1027 N DEMAREE ST
City: Visalia
State: California
ZIP Code: 93291-4117
Phone: (559) 733-5050

Authorized Official

Name: DR. CHRISTOPHER U REX, MD
Title: PRESIDENT
Phone: (904) 994-4533

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery	207ND0101X
Dermatology	207N00000X	Primary

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