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Advanced Dermatology Care A Professional Medical Corporation
Medical Specialty Clinic/Center in Monroe, Louisiana
NPI 1336439553

Advanced Dermatology Care A Professional Medical Corporation is a Medical Specialty Clinic/Center based in Monroe, LA and is specialized in Medical Specialty. Advanced Dermatology Care A Professional Medical Corporation practices in Monroe, LA. The NPI Number for Advanced Dermatology Care A Professional Medical Corporation is 1336439553 and holds a License No. 026501 (Louisiana).

The current practice location address for Advanced Dermatology Care A Professional Medical Corporation is 2409 Broadmoor Blvd, Monroe, LA and can be reached out via phone at 318-323-8799 and via fax at 318-323-8815.

Location: 2409 Broadmoor Blvd, Monroe, LA, 71201-3540
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336439553
Provider Name
Advanced Dermatology Care A Professional Medical Corporation
Credential
Provider Entity Type
Organization
Address
2409 Broadmoor Blvd, Monroe, LA, 71201-3540
Phone Number
318-323-8799
Fax Number
318-323-8815
Provider Enumeration Date
04/08/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1059587 05 LA
institution
Provider Business Practice Location Address Details
Address
2409 Broadmoor Blvd
City
Monroe
State
Louisiana
Zip
71201-2964
Phone Number
318-323-8799
Fax Number
318-323-8815
person
Provider Business Mailing Address Details
Address
2409 Broadmoor Blvd
City
Monroe
State
Louisiana
Zip
71201-2964
Phone Number
318-323-8799
Fax Number
318-323-8815
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
026501 (Louisiana)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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