Iowa Dermatology Clinic Plc

NPI #1558909572 in Grimes, Iowa

Provider Information

NPI Number: 1558909572
Entity Type: Organization
Organization Name: Iowa Dermatology Clinic Plc
Subpart: Yes (part of a larger organization)
Parent Organization: IOWA DERMATOLOGY CLINIC PLC
Primary Specialty: Dermatology
Enumeration Date: Dec 20, 2019
Last Updated: Dec 20, 2019

Practice Location

Address: 1895 SE GRIMES BLVD.
Address 2: STE. 103
City: Grimes
State: Iowa
ZIP Code: 50111-1277
Phone: (515) 981-7040

Authorized Official

Name: CHARLES W LOVE, MD
Title: CEO
Phone: (515) 226-8484

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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