NPI | 1356846414 |
---|---|
Doing Business As | RADIANT COMPLEXIONS DERMATOLOGY CLINIC |
Entity Type | Organization |
Authorized Contact | MATTHEW DAVID SCHEMMEL Vice President 515-226-3116 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2018-03-29 |
Last Update Date | 2019-01-11 |