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1467898007
PREMIER DERMATOLOGY, LTD.
WATERLOO, IA
NPI
1467898007
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Entity Type
Organization
Authorized Contact
JUSTIN C ELLERBROEK
Owner
319-233-3044
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2013-05-21
Last Update Date
2024-02-01
Business Address
PREMIER DERMATOLOGY, LTD.
3741 PHEASANT LN
WATERLOO, IA 50701-5215
Phone number: 319-234-6000
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Mailing Address
PREMIER DERMATOLOGY, LTD.
PO BOX 2400
WATERLOO, IA 50704-2400
Phone number: 319-234-6000
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