Dermatology Specialists, Psc

NPI 1013069301 - Specialist - 174400000X

NPI Details
NPI 1013069301
Enumeration Date 01/17/2007
Last Updated 01/17/2014
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name J. MARK J.
Position PARTNER
Phone (502) 583-7546
Fax (502) 589-3429
Practice Location
501 S 2ND ST
FIRST FLOOR
LOUISVILLE KY, 40202-2862, US
Phone (502) 583-7546
Fax (502) 589-3429
Business Location
501 S 2ND ST
FIRST FLOOR
LOUISVILLE KY, 40202-2862, US
Phone (502) 583-7546
Fax (502) 589-3429
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Dermatology Specialists, Psc NPI is 1013069301, taxonomy code is 174400000X Dermatology Specialists, Psc physically located at 501 S 2nd St, Louisville KY, 40202-2862. NPI Number 1033115704 has the healthcare provider type.

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1013069301 NPI number is provided on an as is basis without warranty of any kind. 1013069301 is maintained by the National Plan & Provider Enumeration System. The contents of Dermatology Specialists, Psc are for informational purposes only.