Organization
DUBUQUE DERMATOLOGY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENZO SATO M.D. (OWNER)
(563) 582-9306
Entity
Organization
Contact information
Practice address
2140 JFK RD, SUITE A, DUBUQUE, IA 52002-3883
(563) 582-9306
(563) 582-6879
Mailing address
2140 JFK RD, SUITE A, DUBUQUE, IA 52002-3883
(563) 582-9306
(563) 582-6879
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
21029
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1148981
—
IA
Enumeration date
09/25/2007
Last updated
09/25/2007
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