Organization
DERMATOLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN BECK (ADMINISTRATOR)
(256) 539-2741
Entity
Organization
Contact information
Practice address
4021 BALMORAL DR SW, HUNTSVILLE, AL 35801-6403
(256) 539-2741
(256) 539-2775
Mailing address
4021 BALMORAL DR SW, HUNTSVILLE, AL 35801-6403
(256) 539-2741
(256) 539-2775
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
520402120
—
AL
01
—
CC2318
MEDICARE RAIL ROAD
AL
Enumeration date
03/23/2006
Last updated
06/28/2012
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