Booth Dermatology Group, Pc

NPI 1346220563 - Dermatology - 207N00000X

NPI Details
NPI 1346220563
Enumeration Date 01/23/2006
Last Updated 06/17/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name SALLY A SALLY
Position PRESIDENT
Phone (317) 848-2427
Fax (317) 848-2434
Practice Location
10485 N PENNSYLVANIA ST
SUITE 150
INDIANAPOLIS IN, 46280-2011, US
Phone (317) 848-2427
Fax (317) 848-2434
Business Location
10485 N PENNSYLVANIA ST
SUITE 150
INDIANAPOLIS IN, 46280-2011, US
Phone (317) 848-2427
Fax (317) 848-2434
Toxanomy
Taxonomy Code 207N00000X
License State
License Number
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According to our database, Booth Dermatology Group, Pc NPI is 1346220563, taxonomy code is 207N00000X Booth Dermatology Group, Pc physically located at 10485 N Pennsylvania St, Indianapolis IN, 46280-2011. NPI Number 1033115704 has the healthcare provider type.

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1346220563 NPI number is provided on an as is basis without warranty of any kind. 1346220563 is maintained by the National Plan & Provider Enumeration System. The contents of Booth Dermatology Group, Pc are for informational purposes only.