Provider Demographics
NPI:1194027367
Name:TS DERMATOLOGY, PLLC
Entity Type:Organization
Organization Name:TS DERMATOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:J
Authorized Official - Last Name:ROBSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:319-337-4566
Mailing Address - Street 1:1100 6TH ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-1755
Mailing Address - Country:US
Mailing Address - Phone:319-337-4566
Mailing Address - Fax:319-337-4766
Practice Address - Street 1:1100 6TH ST
Practice Address - Street 2:SUITE 202
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-1755
Practice Address - Country:US
Practice Address - Phone:319-337-4566
Practice Address - Fax:319-337-4766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-22
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA31541207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatologyGroup - Single Specialty