Organization
DERMATOLOGY, P.A.
Active
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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