University Dermatology Center Pc

NPI 1578615266 - Specialist - 174400000X

NPI Details
NPI 1578615266
Enumeration Date 01/16/2007
Last Updated 02/10/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ALEXANDER ALEXANDER
Position OWNER
Phone (765) 747-6090
Fax (765) 747-5069
Practice Location
2525 W UNIVERSITY AVE STE 402
MUNCIE IN, 47303-3409, US
Phone (765) 747-6090
Fax (765) 747-5069
Business Location
2525 W UNIVERSITY AVE STE 402
MUNCIE IN, 47303-3409, US
Phone (765) 747-6090
Fax (765) 747-5069
Toxanomy
Taxonomy Code 174400000X
License State Indiana
License Number 50003770A
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According to our database, University Dermatology Center Pc NPI is 1578615266, taxonomy code is 174400000X and license number is 50003770A, license state is located at Indiana. University Dermatology Center Pc physically located at 2525 W University Ave Ste 402, Muncie IN, 47303-3409. NPI Number 1033115704 has the healthcare provider type.

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1578615266 NPI number is provided on an as is basis without warranty of any kind. 1578615266 is maintained by the National Plan & Provider Enumeration System. The contents of University Dermatology Center Pc are for informational purposes only.