Organization
DERMATOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER I CEILLEY M.D. (PRESIDENT)
(515) 241-2000
Entity
Organization
Contact information
Practice address
6000 UNIVERSITY AVE, SUITE 450, WEST DES MOINES, IA 50266-8203
(515) 241-2000
(515) 241-2005
Mailing address
6000 UNIVERSITY AVE, SUITE 450, WEST DES MOINES, IA 50266-8203
(515) 241-2000
(515) 241-2000
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16D0383358
CLIA #
IA
Enumeration date
05/16/2006
Last updated
08/01/2025
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