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1104451749
EPIPHANY DERMATOLOGY OF IOWA, PLC
CEDAR RAPIDS, IA
NPI
1104451749
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Entity Type
Organization
Authorized Contact
GHEORGHE PUSTA
Executive Director
512-628-0465
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2020-03-04
Last Update Date
2023-12-07
Business Address
EPIPHANY DERMATOLOGY OF IOWA, PLC
5264 COUNCIL ST NE STE 700
CEDAR RAPIDS, IA 52402-2477
Phone number: 319-363-9963
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Mailing Address
EPIPHANY DERMATOLOGY OF IOWA, PLC
7300 RANCH RD. 2222, BLDG 1, STE 200
AUSTIN, TX 78730-3255
Phone number: 512-628-0465
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