Dermassociates Ltd
NPI #1942273974 in Belleville, Illinois
Provider Information
- NPI Number
- 1942273974
- Entity Type
- Organization
- Organization Name
- Dermassociates Ltd
- Primary Specialty
- Specialist
- Enumeration Date
- Feb 9, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3608 W MAIN ST
- City
- Belleville
- State
- Illinois
- ZIP Code
- 62226-6225
- Phone
- (618) 397-6605
Authorized Official
- Name
- DR. GARY JOHN VICIK, M.D.
- Title
- CEO/PHYSICIAN
- Phone
- (618) 397-6605
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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