Photodermic Skin Therapy, LLC
NPI #1982877015 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1982877015
- Entity Type
- Organization
- Organization Name
- Photodermic Skin Therapy, LLC
- Primary Specialty
- Dermatology - Procedural Dermatology
- Enumeration Date
- Apr 9, 2008
- Last Updated
- Apr 9, 2008
Practice Location
- Address
- 3833 N MERIDIAN ST STE 10
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46208-4001
- Phone
- (317) 926-4687
Authorized Official
- Name
- DOUG WREGGE
- Title
- OWNER
- Phone
- (317) 283-8113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - Procedural Dermatology — Procedural Dermatology |
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