Organization
IOWA DERMATOLOGY CLINIC PLC
Active
Parent organization
IOWA DERMATOLOGY CLINIC PLC
Other names
Radiant Complexions Dermatology Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
IOWA DERMATOLOGY CLINIC PLC
Authorized official
CHARLES W LOVE MD (OWNER)
(515) 226-8484
Entity
Organization
Contact information
Practice address
311 S CLARK ST STE 280, CARROLL, IA 51401-3086
(515) 226-8484
Mailing address
6800 LAKE DR STE 285, WEST DES MOINES, IA 50266-2544
(515) 277-2813
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
07/02/2019
Last updated
07/02/2019
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