NPI 1053421610
Dermatology INC
Practice location
- Address
- 875 Airport Pkwy, Greenwood, IN 46143-1085
- Phone
- (317) 926-3739
- Fax
- (317) 921-7478
Authorised official
- Name
- Khristi Autajay
- Title
- Practice Administrator
- Phone
- (317) 926-3739
Registered specialties
Dermatology Physician
Primary
Registry record
- NPI
- 1053421610
- Entity type
- Organization
- NPI issued
- 30 Aug 2006
- Record last updated
- 22 Apr 2025
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.