Organization
IC DERMATOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA COLLERAN MD (MEDICAL DOCTOR)
(319) 338-3972
Entity
Organization
Contact information
Practice address
269 N 1ST AVE, SUITE 100, IOWA CITY, IA 52245-3616
(319) 339-3972
(319) 339-3974
Mailing address
269 N 1ST AVE, SUITE 100, IOWA CITY, IA 52245-3616
(319) 339-3972
(319) 339-3974
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
28400
IA
207NS0135X
Procedural Dermatology Physician
28400
IA
Other
Enumeration date
02/02/2009
Last updated
09/27/2013
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