| NPI | 1205331485 | 
|---|---|
| Doing Business As | RADIANT COMPLEXIONS DERMATOLOGY CLINIC | 
| Entity Type | Organization | 
| Authorized Contact | DEBRA L BEJARNO Billing Manager 515-226-3116  | 
| Organization Subpart ? | Yes | 
| Primary Taxonomy | 207N00000X Dermatology | 
| Enumeration Date | 2018-03-28 | 
| Last Update Date | 2018-03-28 |