| NPI | 1265199277 |
|---|---|
| Doing Business As | RADIANT COMPLEXIONS DERMATOLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | MATTHEW DAVID SCHEMMEL Chief Operating Officer 515-697-0176 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2021-11-24 |