Organization · Type 2 NPI

Three Rivers Dermatology, LLC

Specialist · Fort Wayne, IN

NPI number 1992991475 Active

Practice location

5650 Coventry Ln
Fort Wayne, IN 46804-7140

Call (260) 436-9696 Map

Fax (260) 436-9424

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: 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.

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About NPI 1992991475

Three Rivers Dermatology, LLC's National Provider Identifier is 1992991475, issued on Sep 19, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jun 12, 2020.