NPI 1104451749

Epiphany Dermatology of Iowa, Plc

Organisation Dermatology Physician Cedar Rapids, IA

Practice location

Address: 5264 Council St NE STE 700, Cedar Rapids, IA 52402-2477
Phone: (319) 363-9963
Fax: (319) 363-0520
Mailing address: 7300 Ranch Rd. 2222, Bldg 1, STE 200, Austin, TX 78730-3255

Authorised official

Name: Gheorghe Pusta
Title: Executive Director
Phone: (512) 628-0465

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Iowa →

Registry record

NPI: 1104451749
Entity type: Organization
NPI issued: 4 Mar 2020
Record last updated: 7 Dec 2023

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.