Organization
MID-IOWA DERMATOLOGY, P. L. L. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT GREGORY GREEN M.D. (PHYSICIAN)
(515) 955-4440
Entity
Organization
Contact information
Practice address
11 N 14TH ST, FORT DODGE, IA 50501-4241
(515) 955-4440
(515) 955-4449
Mailing address
11 N 14TH ST, FORT DODGE, IA 50501-4241
(515) 955-4440
(515) 955-4449
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
24935
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6137737
—
IA
Enumeration date
02/01/2012
Last updated
02/28/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us