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Organization

DERMATOLOGY ASSOCIATES LLP

Active
Other names
Drs Puhl and Boysen LLP
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS CHARLES BOYSEN M.D. (PARTNER)
(319) 337-3177
Entity
Organization

Contact information

Practice address
501 12TH AVE, SUITE 101, CORALVILLE, IA 52241-1774
(319) 337-3177
(319) 341-0024
Mailing address
501 12TH AVE, SUITE 101, CORALVILLE, IA 52241-1774
(319) 337-3177
(319) 341-0024

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
IA
207ND0101X
MOHS-Micrographic Surgery Physician
207ND0900X
Dermatopathology Physician
IA
207NP0225X
Pediatric Dermatology Physician
IA
207NS0135X
Procedural Dermatology Physician
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0166470
IA
Enumeration date
06/26/2007
Last updated
07/28/2008
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