Dermatology And Skin Surgery Apmc in Shreveport - Dermatology
Dermatology And Skin Surgery Apmc - NPI 1023005758
Dermatology And Skin Surgery Apmc is a Dermatology in Shreveport, Louisiana. Dermatology And Skin Surgery Apmc practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Dermatology And Skin Surgery Apmc is 1023005758. The last update date is 2013-10-01.
Dermatology And Skin Surgery Apmc's current location address is 9007 Ellerbe Rd, Shreveport, Louisiana. You can contact this provider via phone number 3182223278 and fax number 3184243155. The mailing address for Dermatology And Skin Surgery Apmc is 9007 Ellerbe Rd, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Dermatology And Skin Surgery Apmc |
|---|---|
| Address | 9007 Ellerbe Rd, Shreveport, Louisiana |
| Phone Number | 3182223278 |
| Fax Number | 3184243155 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Resneck S Jack |
| Credentials | MD |
| Telephone Number | 3182223278 |
NPI Number Detail
| NPI Number | 1023005758 |
|---|---|
| Provider Enumeration Date | 2005-09-27 |
| Last Updated Date | 2013-10-01 |
Provider Mailing Address Detail
| Address | 9007 Ellerbe Rd |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711066724 |
| Phone Number | 3182223278 |
| Fax Number | 3184243155 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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What is the unique 10-digit identifier code issued to Dermatology And Skin Surgery Apmc by the Centers for Medicare & Medicaid Services?
The Dermatology And Skin Surgery Apmc has been assigned the NPI (National Provider Identifier) 1023005758 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Dermatology And Skin Surgery Apmc?
The Dermatology And Skin Surgery Apmc is situated at 9007 Ellerbe Rd, in the city of Shreveport, state of LA, with the zip code 711066724.
What is Dermatology And Skin Surgery Apmc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Dermatology And Skin Surgery Apmc is Dermatology, and the taxonomy code that categorizes this field of expertise is 207N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1023005758 to Dermatology And Skin Surgery Apmc?
The Centers for Medicare & Medicaid Services originally issued the 1023005758 to Dermatology And Skin Surgery Apmc on 2005-09-27.
As of what date were the details related to Dermatology And Skin Surgery Apmc most recently updated or revised?
The information pertaining to Dermatology And Skin Surgery Apmc, including its address, specialty, and other relevant details, was last updated or revised on 2013-10-01.
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