Organization
HEARTLAND DERMATOLGY & SKIN CANCER CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AVA RISA FELDMAN D.O. (CO-OWNER)
(515) 224-7088
Entity
Organization
Contact information
Practice address
12327 STRATFORD DR, CLIVE, IA 50325-8148
(515) 224-7088
(515) 224-9228
Mailing address
12327 STRATFORD DR, CLIVE, IA 50325-8148
(515) 224-7088
(515) 224-9228
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN3179
MEDICARE RAILROAD
IA
Enumeration date
11/30/2006
Last updated
12/07/2007
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