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Organization

DERMATOLOGY, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT D DURST JR. M.D. (PHYSICIAN/OWNER)
(785) 357-5166
Entity
Organization

Contact information

Practice address
1706 SW 10TH AVE, TOPEKA, KS 66604-1306
(785) 357-5166
(785) 357-5168
Mailing address
1706 SW 10TH AVE, TOPEKA, KS 66604-1306
(785) 357-5166
(785) 357-5168

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
04-15120
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000095
BLUE CROSS BLUE SHIELD
KS
01
070005489
RAILROAD MEDICARE
KS
01
1154414951
INDIVIDUAL NPI
KS
01
KA2521
MEDICARE
KS
Enumeration date
03/18/2009
Last updated
12/13/2012
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