Organization · Type 2 NPI
Derma Glow Med Spa Corp
General Practice Physician · Fairview Park, OH
NPI number
1043054497
Active
Practice location
22237 Lorain Rd
Fairview Park, OH 44126-3315
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Other general practice physician providers in Fairview Park
About NPI 1043054497
Derma Glow Med Spa Corp's National Provider Identifier is 1043054497, issued on Jun 20, 2024. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Fairview Park, OH. The record was last updated on Jun 30, 2024.