Iowa Dermatology Institute, P.c.

NPI 1265636708 - Dermatology - 207N00000X

NPI Details
NPI 1265636708
Enumeration Date 06/11/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CARL W. CARL
Position PHYSICIAN
Phone (563) 242-3571
Fax (563) 243-4971
Practice Location
2315 ROOSEVELT ST
CLINTON IA, 52732-2412, US
Phone (563) 242-3571
Fax (563) 243-4971
Business Location
4909 N GLEN PARK PLACE RD
PEORIA IL, 61614-4676, US
Phone (309) 674-7546
Fax (309) 282-0500
Toxanomy
Taxonomy Code 207N00000X
License State
License Number
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According to our database, Iowa Dermatology Institute, P.c. NPI is 1265636708, taxonomy code is 207N00000X Iowa Dermatology Institute, P.c. physically located at 2315 Roosevelt St, Clinton IA, 52732-2412. NPI Number 1033115704 has the healthcare provider type.

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1265636708 NPI number is provided on an as is basis without warranty of any kind. 1265636708 is maintained by the National Plan & Provider Enumeration System. The contents of Iowa Dermatology Institute, P.c. are for informational purposes only.