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
MATTHEW DAVID SCHEMMEL (VICE PRESIDENT)
(515) 226-3116
Entity
Organization
Contact information
Practice address
3053 8TH STREET, SUITE 200, ALTOONA, IA 50009
(515) 226-3116
Mailing address
6800 LAKE DR STE 285, WEST DES MOINES, IA 50266-2544
(515) 423-2606
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
03/29/2018
Last updated
01/11/2019
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