Registry details
Type
Individual
Primary specialty
Dermatology
Enumerated
Mar 3, 2006
License(s)
35082013A (OH)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 190 N UNION ST STE 203 | Akron, OH 44304-1362 | 330-923-3502 |
| MAILING | 6601 COLLEGE BLVD STE 120 | Overland Park, KS 66211-1504 | 913-359-6019 |
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