Organization
TRI-STATE DERMATOLOGY & SKIN CARE, LLC
Active
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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