NPI 1053461137

Center of Dermatology, PC

Organisation Dermatology Physician Omaha, NE

Practice location

Address: 10110 Nicholas Street Suite #103, Omaha, NE 68114-2185
Phone: (402) 398-9200
Fax: (402) 398-9400

Authorised official

Name: Herschel E Stoller
Title: President
Phone: (402) 398-9200

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence NE13516 (NE)

Other Dermatology providers in Nebraska →

Registry record

NPI: 1053461137
Entity type: Organization
NPI issued: 11 Jan 2007
Record last updated: 18 Feb 2010

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.