Organization
DIMITRI DERMATOLOGY
Active
Organization
DIMITRI DERMATOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH M DIMITRI D. O. (OWNER)
(504) 391-7540
Entity
Organization
Contact information
Practice address
300 GATEWAY DR, SLIDELL, LA 70461-5540
(985) 643-4512
(985) 643-4513
Mailing address
300 GATEWAY DR, SLIDELL, LA 70461-5540
(985) 643-4512
(985) 643-4513
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
14885R
LA
Other
Enumeration date
11/13/2008
Last updated
09/01/2011
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