| NPI | 1477140812 |
|---|---|
| Doing Business As | RADIANT COMPLEXIONS DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | MATTHEW DAVID SCHEMMEL Vice President 515-226-3116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2020-12-30 |