Epiphany Dermatology of Iowa, Plc

NPI #1104451749 in Cedar Rapids, Iowa

Provider Information

NPI Number: 1104451749
Entity Type: Organization
Organization Name: Epiphany Dermatology of Iowa, Plc
Primary Specialty: Dermatology
Enumeration Date: Mar 4, 2020
Last Updated: Dec 7, 2023

Practice Location

Address: 5264 COUNCIL ST NE STE 700
City: Cedar Rapids
State: Iowa
ZIP Code: 52402-2477
Phone: (319) 363-9963

Authorized Official

Name: GHEORGHE PUSTA
Title: EXECUTIVE DIRECTOR
Phone: (512) 628-0465

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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