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Organization

ASSOCIATES IN DERMATOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD T AMELN (PHYSICIAN)
(641) 683-3195
Entity
Organization

Contact information

Practice address
1005 PENNSYLVANIA AVE, OTTUMWA, IA 52501-6413
(641) 683-3195
Mailing address
1005 PENNSYLVANIA AVE, OTTUMWA, IA 52501-6413
(641) 683-3195

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0420471
IA
Enumeration date
08/10/2007
Last updated
08/10/2007
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