Live Oak Dermatology PC
NPI #1609654466 in Fairview, Pennsylvania
Provider Information
- NPI Number
- 1609654466
- Entity Type
- Organization
- Organization Name
- Live Oak Dermatology PC
- Primary Specialty
- Dermatology - MOHS-Micrographic Surgery
- Enumeration Date
- Sep 21, 2023
- Last Updated
- Jan 30, 2025
Practice Location
- Address
- 7176 W RIDGE RD
- City
- Fairview
- State
- Pennsylvania
- ZIP Code
- 16415-2027
- Phone
- (814) 413-7997
Authorized Official
- Name
- DR. MICHAEL ZAYCOSKY, DO
- Title
- OWNER
- Phone
- (814) 413-7997
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery |
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