NPI 1134781842
Iowa Dermatology Clinic Plc
Practice location
- Address
- 311 S Clark St STE 280, Carroll, IA 51401-3086
- Phone
- (515) 226-8484
- Mailing address
- 6800 Lake Dr STE 285, West Des Moines, IA 50266-2544
Authorised official
- Name
- Charles W Love
- Title
- Owner
- Phone
- (515) 226-8484
Registered specialties
Dermatology Physician
Primary
Registry record
- NPI
- 1134781842
- Entity type
- Organization
- NPI issued
- 2 Jul 2019
- Record last updated
- 2 Jul 2019
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.