NPI 1598982704

Dermatology Laser Surgery Center INC

Organisation Dermatology Physician Centerville, OH

Practice location

Address: 6720 Loop Rd, Centerville, OH 45459-2161
Phone: (937) 433-4922
Fax: (937) 433-6520
Mailing address: 3723 Hauck Rd, Cincinnati, OH 45241

Authorised official

Name: Gary D Palmer
Title: Medical President
Phone: (937) 433-4922

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 35043176 (OH)

Other Dermatology providers in Ohio →

Registry record

NPI: 1598982704
Entity type: Organization
NPI issued: 19 Apr 2007
Record last updated: 18 Nov 2011

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.