NPI 1174797443

Stitle Dermatology, LLC

Organisation Dermatology Physician Greenwood, IN

Practice location

Address: 92 S Park Blvd, Greenwood, IN 46143-8836
Phone: (317) 889-7546
Fax: (317) 889-2482

Authorised official

Name: Laura T Stitle
Title: President
Phone: (317) 889-7546

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 01056989A (IN)

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Registry record

NPI: 1174797443
Entity type: Organization
NPI issued: 17 Apr 2008
Record last updated: 21 Mar 2024

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.