Organization
GREATER DES MOINES DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY GARTH ABRAHAMSON M.D. (CEO)
(515) 243-8676
Entity
Organization
Contact information
Practice address
2424 128TH ST, NW 128TH STREET, URBANDALE, IA 50323-1816
(515) 243-8676
(515) 243-0487
Mailing address
2424 128TH ST, NW 128TH STREET, URBANDALE, IA 50323-1816
(515) 243-8676
(515) 243-0487
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
33182
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0255075
—
IA
Enumeration date
07/18/2005
Last updated
03/24/2008
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