Organization
IOWA DERMATOLOGY CLINIC PLC
Active
Other names
Radiant Complexions Dermatology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES LOVE MD (PRESIDENT)
(515) 226-8484
Entity
Organization
Contact information
Practice address
9500 UNIVERSITY AVE STE 1114, WEST DES MOINES, IA 50266-1745
(515) 221-8960
Mailing address
6800 LAKE DR STE 285, WEST DES MOINES, IA 50266-2544
(515) 226-3116
(888) 391-9262
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
06/26/2017
Last updated
03/28/2018
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