Grace Dermatology & Micrographic Surgery LLC
NPI #1184973828 in Lebanon, Oregon
Provider Information
- NPI Number
- 1184973828
- Entity Type
- Organization
- Organization Name
- Grace Dermatology & Micrographic Surgery LLC
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Sep 7, 2012
- Last Updated
- Nov 26, 2012
Practice Location
Authorized Official
- Name
- KYLE LELAND HORNER, MD
- Title
- OWNER
- Phone
- (206) 465-8046
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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