NPI 1023138492

Dermatology and Laser Surgery Center INC

Organisation Procedural Dermatology Physician Centerville, OH

Practice location

Address: 6720 Loop Rd, Centerville, OH 45459-2161
Phone: (937) 433-4922
Fax: (937) 433-6520

Authorised official

Name: Gary D Palmer
Title: Medical Doctor Pres.
Phone: (937) 433-4922

Registered specialties

Procedural Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207NS0135X Licence 35043172 (OH)

Other Dermatology providers in Ohio →

Registry record

NPI: 1023138492
Entity type: Organization
NPI issued: 30 Mar 2007
Record last updated: 22 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.