Dermatology Laser Surgery Center INC
NPI #1598982704 in Centerville, Ohio
Provider Information
- NPI Number
- 1598982704
- Entity Type
- Organization
- Organization Name
- Dermatology Laser Surgery Center INC
- Primary Specialty
- Dermatology
- Enumeration Date
- Apr 19, 2007
- Last Updated
- Nov 18, 2011
Practice Location
- Address
- 6720 LOOP RD
- City
- Centerville
- State
- Ohio
- ZIP Code
- 45459-2161
- Phone
- (937) 433-4922
Authorized Official
- Name
- GARY D PALMER, MD
- Title
- MEDICAL PRESIDENT
- Phone
- (937) 433-4922
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology |
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