| NPI | 1952549792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA COLLERAN Medical Doctor 319-338-3972 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IA 28400) |
| Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: IA 28400) |
| Enumeration Date | 2009-02-02 |
| Last Update Date | 2013-09-27 |