Dermatology Associates Of Siouxland, Pc in Sioux City - Specialist
Dermatology Associates Of Siouxland, Pc - NPI 1417088907
Dermatology Associates Of Siouxland, Pc is a Specialist in Sioux City, Iowa. Dermatology Associates Of Siouxland, Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Dermatology Associates Of Siouxland, Pc is 1417088907. The last update date is 2016-08-17.
Dermatology Associates Of Siouxland, Pc's current location address is 2930 Hamilton Blvd, Sioux City, Iowa. You can contact this provider via phone number 7122779370 and fax number 7122524733. The mailing address for Dermatology Associates Of Siouxland, Pc is 2930 Hamilton Blvd, Sioux City, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dermatology Associates Of Siouxland, Pc |
|---|---|
| Address | 2930 Hamilton Blvd, Sioux City, Iowa |
| Phone Number | 7122779370 |
| Fax Number | 7122524733 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DERMATOLOG |
|---|---|
| Authorized Official Name | Demay J. Mark |
| Credentials | M.D. |
| Telephone Number | 7122779370 |
NPI Number Detail
| NPI Number | 1417088907 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2016-08-17 |
Provider Mailing Address Detail
| Address | 2930 Hamilton Blvd |
|---|---|
| City | Sioux City |
| State | Iowa (IA) |
| Post Code | 511042425 |
| Phone Number | 7122779370 |
| Fax Number | 7122524733 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 31906 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1417088907 | IA | WELLMARK BLUE CROSS & BLUE SHI | |
| IB2763 | IA | MEDICARE GROUP PTAN | |
| DT7736 | IA | MEDICARE RR GROUP PTAN |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Dermatology Associates Of Siouxland, Pc by the Centers for Medicare & Medicaid Services?
The Dermatology Associates Of Siouxland, Pc has been assigned the NPI (National Provider Identifier) 1417088907 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Dermatology Associates Of Siouxland, Pc's physical address?
The Dermatology Associates Of Siouxland, Pc is physically located at 2930 Hamilton Blvd, in the city of Sioux City, IA, with the postal code 511042425.
What is Dermatology Associates Of Siouxland, Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Dermatology Associates Of Siouxland, Pc is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1417088907 to Dermatology Associates Of Siouxland, Pc?
The Dermatology Associates Of Siouxland, Pc received its 1417088907 assignment from the Centers for Medicare & Medicaid Services on 2007-03-08.
When was the Dermatology Associates Of Siouxland, Pc's information last updated?
The Dermatology Associates Of Siouxland, Pc's information was last updated on 2016-08-17.