DERMATOLOGY CENTER OF SOUTHERN INDIANA, P.C. is a specialist in Bloomington, IN. The provider is 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. DERMATOLOGY CENTER OF SOUTHERN INDIANA, P.C. NPI is 1659451755. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
1200 S ROGERS ST
BLOOMINGTON, IN
ZIP 47403-792
Phone: (812) 339-6434
Fax: (812) 331-0196
The provider's authorized official is Mary Kathleen Mctigue .
The authorized official title is President and has the following contact phone number (812) 339-6434.
The CLIA number assigned to this NPI record is 15D0360649 - physician office with a certificate type of Certificate of Compliance.
The enumeration date for this NPI number is 10/16/2006 and was last updated on 4/11/2016.