NPI 1336523265
Gulf Coast Dermatology & Skin Care Centre PLLC
Practice location
- Address
- 580 Providence Park Dr E, Mobile, AL 36695-4614
- Phone
- (251) 631-3570
- Fax
- (251) 631-3572
Authorised official
- Name
- Thomas W Bender
- Title
- Physician/Authorized Official
- Phone
- (251) 631-3570
Registered specialties
Dermatology Physician
Primary
Registry record
- NPI
- 1336523265
- Entity type
- Organization
- NPI issued
- 9 Jul 2015
- Record last updated
- 9 Jul 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.