| NPI | 1487026266 |
|---|---|
| Doing Business As | RADIANT COMPLEXIONS DERMATOLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHARLES LOVE Owner 515-226-8484 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207N00000X Dermatology |
| 207ND0101X Dermatology MOHS-Micrographic Surgery | |
| 207ND0900X Dermatology Dermatopathology | |
| 207ZP0102X Pathology Anatomic Pathology & Clinical Pathology | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2023-07-25 |