Organization
CENTRAL IOWA DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC ALLEN HARLAN MD (OWNER/MEDICAL DIRECTOR)
(319) 321-3515
Entity
Organization
Contact information
Practice address
230 62ND CT, WEST DES MOINES, IA 50266-8602
(515) 726-3376
(515) 446-9707
Mailing address
230 62ND CT, WEST DES MOINES, IA 50266-8602
(515) 726-3376
(515) 446-9707
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
—
—
207ND0900X
Dermatopathology Physician
—
—
Other
Enumeration date
01/25/2019
Last updated
01/25/2019
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