Photodermic Skin Therapy, Llc in Indianapolis - Procedural Dermatology
Photodermic Skin Therapy, Llc - NPI 1982877015
Photodermic Skin Therapy, Llc is a Procedural Dermatology in Indianapolis, Indiana. Photodermic Skin Therapy, Llc practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Photodermic Skin Therapy, Llc is 1982877015. The last update date is 2008-04-09.
Photodermic Skin Therapy, Llc's current location address is 3833 N Meridian St Ste 10, Indianapolis, Indiana. You can contact this provider via phone number 3179264687. The mailing address for Photodermic Skin Therapy, Llc is 3833 N Meridian St Ste 10, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Photodermic Skin Therapy, Llc |
|---|---|
| Address | 3833 N Meridian St Ste 10, Indianapolis, Indiana |
| Phone Number | 3179264687 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wregge Doug |
| Telephone Number | 3172838113 |
NPI Number Detail
| NPI Number | 1982877015 |
|---|---|
| Provider Enumeration Date | 2008-04-09 |
| Last Updated Date | 2008-04-09 |
Provider Mailing Address Detail
| Address | 3833 N Meridian St Ste 10 |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462084001 |
| Phone Number | 3179264687 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
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Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
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What is the Photodermic Skin Therapy, Llc's unique identification number?
The Photodermic Skin Therapy, Llc has been assigned the NPI (National Provider Identifier) Number 1982877015 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Photodermic Skin Therapy, Llc is located?
The Photodermic Skin Therapy, Llc is situated at the following address: 3833 N Meridian St Ste 10, Indianapolis, IN, 462084001.
What is Photodermic Skin Therapy, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Photodermic Skin Therapy, Llc is Procedural Dermatology, and the taxonomy classification code that categorizes this area of expertise is 207Ns0135X.
On what date did the Centers for Medicare & Medicaid Services assign the 1982877015 to Photodermic Skin Therapy, Llc?
The Centers for Medicare & Medicaid Services assigned the 1982877015 to Photodermic Skin Therapy, Llc on 2008-04-09.
As of what date was the information regarding Photodermic Skin Therapy, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Photodermic Skin Therapy, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-04-09.