institution
Dermatology Associates Of Siouxland, Pc
Specialist in Sioux City, Iowa
NPI 1417088907

Dermatology Associates Of Siouxland, Pc is a Specialist based in Sioux City, IA. Dermatology Associates Of Siouxland, Pc practices in Sioux City, IA. The NPI Number for Dermatology Associates Of Siouxland, Pc is 1417088907 and holds a License No. 31906 (Iowa).

The current practice location address for Dermatology Associates Of Siouxland, Pc is 2930 Hamilton Blvd, Sioux City, IA and can be reached out via phone at 712-277-9370 and via fax at 712-252-4733.

Location: 2930 Hamilton Blvd, Sioux City, IA, 51104-2425
institution
Provider Profile Details
NPI Number
1417088907
Provider Name
Dermatology Associates Of Siouxland, Pc
Credential
Provider Entity Type
Organization
Address
2930 Hamilton Blvd, Sioux City, IA, 51104-2425
Phone Number
712-277-9370
Fax Number
712-252-4733
Provider Enumeration Date
03/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1417088907 01 IA WELLMARK BLUE CROSS & BLUE SHIELD GROUP NPI
IB2763 01 IA MEDICARE GROUP PTAN
DT7736 01 IA MEDICARE RR GROUP PTAN
institution
Provider Business Practice Location Address Details
Address
2930 Hamilton Blvd
City
State
Zip
51104-2425
Phone Number
712-277-9370
Fax Number
712-252-4733
person
Provider Business Mailing Address Details
Address
2930 Hamilton Blvd
City
State
Zip
51104-2425
Phone Number
712-277-9370
Fax Number
712-252-4733
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
31906 (Iowa)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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