Organization
ADVANCED DERMATOLOGY AND SKIN CANCER CENTER, PA
Active
Organization
ADVANCED DERMATOLOGY AND SKIN CANCER CENTER, PA
Active
Other names
Premier Dermatology & Mohs Surgery Center, Emporia Dermatology and Skin Cancer Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R ADAMS M.D. (PRESIDENT)
(785) 537-4990
Entity
Organization
Contact information
Practice address
2735 PEMBROOK PL, MANHATTAN, KS 66502-7482
(785) 537-4990
(785) 537-1938
Mailing address
2735 PEMBROOK PLACE, MANHATTAN, KS 66502
(785) 537-4990
(785) 537-1938
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207NS0135X
Procedural Dermatology Physician
—
—
Other
Enumeration date
02/23/2006
Last updated
06/07/2023
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