NPI | 1639541410 |
---|---|
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 |
Enumeration Date | 2015-10-20 |
Last Update Date | 2018-06-12 |