Organization · Type 2 NPI

Petersburg Dermatology, PC

Medical Specialty Clinic/Center · Petersburg, VA

NPI number 1740435650 Active

Practice location

3277 S Crater Rd
Petersburg, VA 23805-9285

Fax (804) 861-5500

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500X0101052210 (VA)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

3 other providers at this address

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About NPI 1740435650

Petersburg Dermatology, PC's National Provider Identifier is 1740435650, issued on Nov 19, 2008. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Petersburg, VA. The record was last updated on Nov 19, 2008.