Paladin Dermatology LLC
NPI #1225417082 in Petersburg, Virginia
Provider Information
- NPI Number
- 1225417082
- Entity Type
- Organization
- Organization Name
- Paladin Dermatology LLC
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- May 27, 2015
- Last Updated
- Oct 27, 2015
Practice Location
- Address
- 44 A& B MEDICAL PARK BLVD
- City
- Petersburg
- State
- Virginia
- ZIP Code
- 23805
- Phone
- (804) 648-4802
Authorized Official
- Name
- JOE HERNANDEZ
- Title
- MANAGING OFFICIAL
- Phone
- (804) 648-4802
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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