Roland Spurgeon Beverly, M.D. Valid NPI

Individual provider · Dermatology Physician · Aliso Viejo, CA

NPI

1083687776

Type

Individual (Type 1)

Primary specialty

Dermatology Physician (Dermatology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207N00000X

License number

G65658 (CA)

Sex

Male

Sole proprietor

No

Enumerated

2006-02-11

Last updated

2017-05-10