Organization
THE DERMATOLOGY CENTER,PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUANE EDWARD BANET M.D. (OWNER)
(812) 944-7500
Entity
Organization
Contact information
Practice address
825 UNIVERSITY WOODS DR, SUITE 8, NEW ALBANY, IN 47150-2427
(812) 944-7500
(812) 944-4656
Mailing address
825 UNIVERSITY WOODS DR, SUITE 8, NEW ALBANY, IN 47150-2427
(812) 944-7500
(812) 944-4656
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01046423
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200153530A
—
IN
Enumeration date
07/08/2006
Last updated
11/04/2015
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