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Associated Dermatology, Inc
Specialist in Parkersburg, West Virginia
NPI 1619159183

Associated Dermatology, Inc is a Specialist based in Parkersburg, WV. Associated Dermatology, Inc practices in Parkersburg, WV. The NPI Number for Associated Dermatology, Inc is 1619159183 and holds a License No. 09476 (West Virginia).

The current practice location address for Associated Dermatology, Inc is 1110 20Th St, Parkersburg, WV and can be reached out via phone at 304-485-3834 and via fax at 304-422-4911.

Location: 1110 20Th St, Parkersburg, WV, 26101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619159183
Provider Name
Associated Dermatology, Inc
Credential
Provider Entity Type
Organization
Address
1110 20Th St, Parkersburg, WV, 26101
Phone Number
304-485-3834
Fax Number
304-422-4911
Provider Enumeration Date
11/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W00368442 01 WV MEDICARE INDIVIDUAL #
1780648287 01 NPI INDIVIDUAL #
AS9264011 01 WV MEDICARE GROUP ID#
institution
Provider Business Practice Location Address Details
Address
1110 20Th St
City
Parkersburg
State
West Virginia
Zip
26101-2609
Phone Number
304-485-3834
Fax Number
304-422-4911
person
Provider Business Mailing Address Details
Address
1110 20Th St
City
Parkersburg
State
West Virginia
Zip
26101-2609
Phone Number
304-485-3834
Fax Number
304-422-4911
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
09476 (West Virginia)
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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