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Organization

TRI-STATE DERMATOLOGY & SKIN CARE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NAJI H. TAWFIK MEDICAL DOCTOR (OWNER)
(812) 842-0305
Entity
Organization

Contact information

Practice address
7516 EAGLE CREST BLVD, SUITE D, EVANSVILLE, IN 47715-9142
(812) 842-0305
(812) 842-0305
Mailing address
7516 EAGLE CREST BLVD, SUITE D, EVANSVILLE, IN 47715-9142
(812) 842-0305
(812) 842-0305

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01044950A
IN

Other

Enumeration date
06/15/2009
Last updated
06/15/2009
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