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Organization

CLEAVER DERMATOLOGY PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CRYSTAL K ROBERTS (BILLING SPECIALIST)
(660) 627-7546
Entity
Organization

Contact information

Practice address
1316 COUNTRY CLUB DR, KIRKSVILLE, MO 63501-5362
(660) 627-7546
(660) 956-7099
Mailing address
PO BOX 7545, KIRKSVILLE, MO 63501-7545
(660) 627-7546
(660) 956-7099

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
01/04/2017
Last updated
01/04/2017
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