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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RADIANT DERMATOLOGY ASSOCIATES LLC

Active Organization

Dermatology · FORT WAYNE, IN

Registration Details

NPI Number
1720790330
Provider Type
Organization
NPI Issued
Dec 15, 2022 (3.3502823155515 yrs)
Last Updated
Dec 15, 2022

Practice Information

Address
722 E TILL RD STE 102
FORT WAYNE, IN, 468252066
Browse IN providers · Browse ZIP 46825
Phone
2604874065
Primary Specialty
Dermatology
207N00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.