On-Site Dermatology Consultants
NPI #1134140759 in Louisville, Kentucky
Provider Information
- NPI Number
- 1134140759
- Entity Type
- Organization
- Organization Name
- On-Site Dermatology Consultants
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jul 21, 2006
- Last Updated
- Apr 20, 2008
Practice Location
- Address
- 11209 VISTA GREENS DR
- City
- Louisville
- State
- Kentucky
- ZIP Code
- 40241-3444
- Phone
- (502) 322-6678
Authorized Official
- Name
- MRS. PATRICIA C. MADER, ARNP
- Title
- PRESIDENT
- Phone
- (502) 322-6678
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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