Organization
IOWA DERMATOLOGY CLINIC PLC
Active
Parent organization
IOWA DERMATOLOGY CLINIC PLC
Other names
Radiant Complexions Dermatology Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
IOWA DERMATOLOGY CLINIC PLC
Authorized official
MR. MATTHEW DAVID SCHEMMEL (VICE PRESIDENT)
(515) 226-3116
Entity
Organization
Contact information
Practice address
22 N 27TH ST, FORT DODGE, IA 50501-4331
(515) 955-4440
Mailing address
6800 LAKE DR STE 350, WEST DES MOINES, IA 50266-2500
(515) 226-3116
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/03/2018
Last updated
05/03/2018
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