Advanced Dermatology Center, Pc in Rapid City - Dermatology
Advanced Dermatology Center, Pc - NPI 1346389178
Advanced Dermatology Center, Pc is a Dermatology in Rapid City, South Dakota. Advanced Dermatology Center, Pc practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Advanced Dermatology Center, Pc is 1346389178. The last update date is 2018-02-13.
Advanced Dermatology Center, Pc's current location address is Po Box 3468, Rapid City, South Dakota. You can contact this provider via phone number 6053438000 and fax number 6053438262. The mailing address for Advanced Dermatology Center, Pc is Po Box 3468, Rapid City, South Dakota. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Advanced Dermatology Center, Pc |
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Address | Po Box 3468, Rapid City, South Dakota |
Phone Number | 6053438000 |
Fax Number | 6053438262 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OFFICE MAN |
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Authorized Official Name | Boddicker Oday Sheila |
Telephone Number | 6053438000 |
NPI Number Detail
NPI Number | 1346389178 |
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Provider Enumeration Date | 2007-02-06 |
Last Updated Date | 2018-02-13 |
Provider Mailing Address Detail
Address | Po Box 3468 |
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City | Rapid City |
State | South Dakota (SD) |
Post Code | 577093468 |
Phone Number | 6053438000 |
Fax Number | 6053438262 |
Provider's Primary Taxonomy Detail
Speciality | Dermatology |
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Taxonomy | 207N00000X |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
6246 | SC | BLUE CROSS |
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What is the Advanced Dermatology Center, Pc's unique identification number?
The Advanced Dermatology Center, Pc has been assigned the NPI (National Provider Identifier) Number 1346389178 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Advanced Dermatology Center, Pc located?
The Advanced Dermatology Center, Pc is located at Po Box 3468, Rapid City, SD 577093468.
What is Advanced Dermatology Center, Pc'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 Advanced Dermatology Center, Pc is Dermatology, and the taxonomy classification code that categorizes this area of expertise is 207N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1346389178 to Advanced Dermatology Center, Pc?
The Centers for Medicare & Medicaid Services originally issued the 1346389178 to Advanced Dermatology Center, Pc on 2007-02-06.
As of what date was the information regarding Advanced Dermatology Center, Pc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Advanced Dermatology Center, Pc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-02-13.
NPI Number: 1124025044
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