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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MID-MISSOURI DERMATOLOGISTS, INC

Active Organization

MID-MISSOURI DERMATOLOGISTS, INC is a Dermatology organization located in COLUMBIA, Missouri. NPI 1619302957 is currently active in the NPPES registry. Verify at CMS.

Dermatology · COLUMBIA, MO

Registration Details

NPI Number
1619302957
Provider Type
Organization
NPI Issued
Sep 5, 2013 (12.977541850694 yrs)
Last Updated
Sep 5, 2013
License
30179 (MO)

Practice Information

Address
1504 E BROADWAY
COLUMBIA, MO, 652018077
Browse MO providers · Browse ZIP 65201
Phone
5734423565
Fax
5734432172
Primary Specialty
Dermatology
207N00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.