Organization
DERMATOLOGY ASSOCIATES OF INDY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT NEVIN (MBR)
(918) 492-6333
Entity
Organization
Contact information
Practice address
1212 PROFESSIONAL BLVD, EVANSVILLE, IN 47714-8002
(918) 492-6333
Mailing address
1212 PROFESSIONAL BLVD STE B, EVANSVILLE, IN 47714-8002
(812) 401-9030
(812) 401-9033
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
11/06/2014
Last updated
11/14/2023
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