Organization
RADIANT DERMATOLOGY ASSOCIATES LLC
Active
Organization
RADIANT DERMATOLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARA SPEARMAN MD (OWNER)
(260) 487-4065
Entity
Organization
Contact information
Practice address
722 E TILL RD STE 102, FORT WAYNE, IN 46825-2066
(260) 487-4065
Mailing address
722 E TILL RD STE 102, FORT WAYNE, IN 46825-2066
(260) 487-4065
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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