Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RICHARD MASON STORM, M.D.
Active Sole ProprietorProcedural Dermatology · GREENWOOD, IN
Registration Details
- NPI Number
- 1922003086
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 16, 2005 (20.848686794489 yrs)
- Last Updated
- Nov 29, 2016
- License
-
01029002A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
622 N MADISON AVESTE 5GREENWOOD, IN, 461424052Browse IN providers · Browse ZIP 46142
- Phone
- 3177438930
- Fax
- 3177438937
- Primary Specialty
-
Procedural Dermatology
207NS0135X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.