Dermatology and Dermatologic Surgery Center, PC

NPI #1285792788 in Clive, Iowa

Provider Information

NPI Number: 1285792788
Entity Type: Organization
Organization Name: Dermatology and Dermatologic Surgery Center, PC
Primary Specialty: Dermatology
Enumeration Date: Dec 5, 2006
Last Updated: Apr 16, 2014

Practice Location

Address: 8131 UNIVERSITY BLVD
City: Clive
State: Iowa
ZIP Code: 50325-1123
Phone: (515) 225-8180

Authorized Official

Name: MS. DEE MARIE KNOKE
Title: OFFICE MANAGER
Phone: (515) 225-8180

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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