OrganizationActive
Epiphany Dermatology of Iowa, PLC
NPI 1104451749 · Dermatology Physician · Cedar Rapids, IA
Provider details
- NPI number
- 1104451749
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Gheorghe Pusta, Executive Director
Practice location
5264 Council St Ne Ste 700
Cedar Rapids, IA 52402-2477
Phone: (319) 363-9963
Fax: (319) 363-0520
Mailing address
7300 Ranch Rd. 2222, Bldg 1, Ste 200
Austin, TX 78730-3255
Registry dates
- Enumerated
- 2020-03-04
- Last updated
- 2023-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.