Organization
RADIANT COMPLEXIONS DERMATOLOGY CLINIC OF COUNCIL BLUFFS, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES W LOVE M.D. (OWNER)
(515) 226-8484
Entity
Organization
Contact information
Practice address
900 WOODBURY AVE, SUITE 5B, COUNCIL BLUFFS, IA 51503-7847
(712) 352-2678
(888) 557-0763
Mailing address
900 WOODBURY AVE, SUITE 5B, COUNCIL BLUFFS, IA 51503-7847
(712) 352-2678
(888) 557-0763
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/19/2011
Last updated
10/20/2015
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