| NPI | 1881370476 |
|---|---|
| Doing Business As | COLUMBUS DERMATOLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHAD E VAN CLEAVE Vice President Finance 402-562-3357 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2023-09-07 |