Associates in Dermatology

NPI #1104018472 in Ottumwa, Iowa

Provider Information

NPI Number
1104018472
Entity Type
Organization
Organization Name
Associates in Dermatology
Primary Specialty
Nurse Practitioner
Enumeration Date
Aug 10, 2007
Last Updated
Aug 10, 2007

Practice Location

Address
1005 PENNSYLVANIA AVE
State
Iowa
ZIP Code
52501-6413
Phone
(641) 683-3195

Authorized Official

Name
RICHARD T AMELN
Title
PHYSICIAN
Phone
(641) 683-3195

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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