Organization
IOWA DERMATOLOGY CLINIC PLC
Active
Parent organization
IOWA DERMATOLOGY CLINIC PLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
IOWA DERMATOLOGY CLINIC PLC
Authorized official
CHARLES W LOVE MD (CEO)
(515) 226-8484
Entity
Organization
Contact information
Practice address
1895 SE GRIMES BLVD., STE. 103, GRIMES, IA 50111-1277
(515) 981-7040
(515) 259-1962
Mailing address
6800 LAKE DR STE 285, WEST DES MOINES, IA 50266-2544
(515) 226-3116
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
12/20/2019
Last updated
12/20/2019
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