Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL ALLEN GENTRY, M.D.
Active Sole ProprietorProcedural Dermatology · SPRINGFIELD, MO
Registration Details
- NPI Number
- 1477577633
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 27, 2006 (19.736757869186 yrs)
- Last Updated
- Jul 18, 2007
- License
-
29675 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1722 S GLENSTONE AVESUITE KSPRINGFIELD, MO, 658041519Browse MO providers · Browse ZIP 65804
- Phone
- 4178838162
- Fax
- 4178836225
- Primary Specialty
-
Procedural Dermatology
207NS0135X
- Additional Specialty
- Clinical & Laboratory Dermatological Immunology
Other Procedural Dermatology Providers in SPRINGFIELD, MO
| Name | Credential | NPI |
|---|---|---|
| THOMAS WESTBROOK LYNCH | M.D. | 1669547436 |
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.