| NPI | 1679687081 |
|---|---|
| Doing Business As | RADIANT COMPLEXIONS DERMATOLOGY CLINC OR RADIANT PATHOLOGY |
| Entity Type | Organization |
| Authorized Contact | MATTHEW DAVID SCHEMMEL Chief Operating Officer 515-226-3116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2022-11-01 |