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 |