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Organization

DERMATOLOGY AND DERMATOLOGIC SURGERY CENTER, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DEE MARIE KNOKE (OFFICE MANAGER)
(515) 225-8180
Entity
Organization

Contact information

Practice address
8131 UNIVERSITY BLVD, CLIVE, IA 50325-1123
(515) 225-8180
(515) 225-2041
Mailing address
8131 UNIVERSITY BLVD, CLIVE, IA 50325-1123
(515) 225-8180
(515) 225-2041

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
IA

Other

Enumeration date
12/05/2006
Last updated
04/16/2014
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