Dermatology Laser Surgery Center Inc in Centerville Finance - Procedural Dermatology

Dermatology Laser Surgery Center Inc - NPI 1619096708

Dermatology Laser Surgery Center Inc is a Procedural Dermatology in Centerville Finance, Ohio. Dermatology Laser Surgery Center Inc practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Dermatology Laser Surgery Center Inc is 1619096708. The last update date is 2008-11-21.

Dermatology Laser Surgery Center Inc's current location address is 6720 Loop Rd, Centerville Finance, Ohio. You can contact this provider via phone number 9374334922 and fax number 9374336520. The mailing address for Dermatology Laser Surgery Center Inc is 6720 Loop Rd, Centerville Finance, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dermatology Laser Surgery Center Inc
Address 6720 Loop Rd, Centerville Finance, Ohio
Phone Number 9374334922
Fax Number 9374336520
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEDICAL DO
Authorized Official Name Palmer D Gary
Credentials M D
Telephone Number 9374334922

NPI Number Detail

NPI Number 1619096708
Provider Enumeration Date 2007-03-28
Last Updated Date 2008-11-21

Provider Mailing Address Detail

Address 6720 Loop Rd
City Centerville Finance
State Ohio (OH)
Post Code 454592161
Phone Number 9374334922
Fax Number 9374336520

Provider's Primary Taxonomy Detail

Speciality Procedural Dermatology
Taxonomy 207Ns0135X
Licence No 35043172
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DE181759 OH MEDIGAP NUMBER
402741848001 OH MEDICAL MUTUAL

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FAQs about Dermatology Laser Surgery Center Inc

What is the unique identifier code issued to Dermatology Laser Surgery Center Inc by the Centers for Medicare & Medicaid Services?

The Dermatology Laser Surgery Center Inc has been assigned the NPI (National Provider Identifier) 1619096708. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Dermatology Laser Surgery Center Inc is located?

The Dermatology Laser Surgery Center Inc is situated at the following address: 6720 Loop Rd, Centerville Finance, OH, 454592161.

What is Dermatology Laser Surgery Center Inc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Dermatology Laser Surgery Center Inc's area of specialization is Procedural Dermatology, and the corresponding taxonomy code that categorizes this field of practice is 207Ns0135X.

On what date did the Dermatology Laser Surgery Center Inc receive its 1619096708 assignment from the Centers for Medicare & Medicaid Services?

The Dermatology Laser Surgery Center Inc was assigned its 1619096708 by the Centers for Medicare & Medicaid Services on 2007-03-28.

When was the information regarding Dermatology Laser Surgery Center Inc most recently updated?

The details pertaining to the Dermatology Laser Surgery Center Inc, including its address, specialty, and other relevant information, were last refreshed on 2008-11-21.

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