Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premier Dermatology, Ltd

Organization Dermatology Physician · NPI 1467898007

Premier Dermatology, Ltd is a Dermatology Physician in Waterloo, Iowa. Works from 2 locations. Registered with an NPI since 2013.

In the registry since
2013
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3741 Pheasant Ln
Waterloo, IA 50701-5215
Phone: (319) 234-6000
Fax: (319) 234-6001
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 312 9th St Sw Ste 2000, Waverly, IA 50677-2909 — (319) 234-6000

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1467898007
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Ellerbroek — Owner · (319) 233-3044
NPI enumeratedMay 21, 2013
Last updated in NPPESFebruary 1, 2024
Certification dateFebruary 1, 2024
Mailing addressPo Box 2400, Waterloo, IA 50704-2400

Other providers in Waterloo