Organization
MOBILE DERMATOLOGY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN SCOTT VANLOOCK M.D. (CHAIRMAN)
(251) 635-1315
Entity
Organization
Contact information
Practice address
6163 OMNI PARK DR, MOBILE, AL 36609-5195
(251) 635-1315
Mailing address
6163 OMNI PARK DR, MOBILE, AL 36609-5195
(251) 635-1315
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
23602
AL
Other
Enumeration date
03/28/2008
Last updated
12/17/2010
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