Organization
COMPREHENSIVE DERMATOLOGY PC
Active
Other names
Comprehensive Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LEVI NATHAN MD (PRESIDENT)
(317) 272-1366
Entity
Organization
Contact information
Practice address
8244 E US HIGHWAY 36, STE 1220, AVON, IN 46123-9575
(317) 272-1366
(317) 272-1388
Mailing address
8244 E US HIGHWAY 36, STE 1220, AVON, IN 46123-9575
(317) 272-1366
(317) 272-1388
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01051097
IN
Other
Enumeration date
09/22/2005
Last updated
12/18/2007
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