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Organization

OHIO DERMATOLOGY AND SKIN CANCER, LTD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEAN WILLIAM HEARNE M.D. (PRESIDENT)
(614) 848-4389
Entity
Organization

Contact information

Practice address
4439 STATE ROUTE 159, SUITE 150, CHILLICOTHE, OH 45601-8207
(740) 779-4700
Mailing address
1222 BRIARMEADOW DR, COLUMBUS, OH 43235
(614) 848-4389

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
35065121
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0145373
OH
Enumeration date
07/27/2007
Last updated
07/27/2007
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