Organization
DERMATOLOGY ASSOCIATES OF SIOUXLAND, PC
Active
Other names
Drs. Rossiter & Demay, LLP
Organization subpart
No
Provider details
NPI number
Authorized official
J. MARK DEMAY M.D. (DERMATOLOGIST)
(712) 277-9370
Entity
Organization
Contact information
Practice address
2930 HAMILTON BLVD, STE. 102, SIOUX CITY, IA 51104-2425
(712) 277-9370
(712) 252-4733
Mailing address
2930 HAMILTON BLVD, STE. 102, SIOUX CITY, IA 51104-2425
(712) 277-9370
(712) 252-4733
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
31906
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417088907
WELLMARK BLUE CROSS & BLUE SHIELD GROUP NPI
IA
01
—
DT7736
MEDICARE RR GROUP PTAN
IA
01
—
IB2763
MEDICARE GROUP PTAN
IA
Enumeration date
03/08/2007
Last updated
08/17/2016
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