Organization
UNIVERSITY DERMATOLOGY, INC.
Active
Organization
UNIVERSITY DERMATOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS GOODIN (ADMINISTRATOR)
(317) 274-3809
Entity
Organization
Contact information
Practice address
550 UNIVERSITY BLVD, UH 3240, INDIANAPOLIS, IN 46202-5149
(317) 944-7744
(317) 944-7051
Mailing address
545 BARNHILL DR, EH 139, INDIANAPOLIS, IN 46202-5112
(317) 944-7744
(317) 944-7051
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200208370
—
IN
Enumeration date
06/07/2006
Last updated
09/14/2015
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