Organization
SOUTHEAST MISSOURI DERMATOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRELL L GRIFFIN MD (PHYSICIAN/OWNER)
(573) 760-8811
Entity
Organization
Contact information
Practice address
1223 MAPLE ST, FARMINGTON, MO 63640-7616
(573) 760-8811
(573) 760-8844
Mailing address
1223 MAPLE ST, FARMINGTON, MO 63640-7616
(573) 760-8811
(573) 760-8844
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
MO
Other
Enumeration date
06/01/2006
Last updated
12/10/2014
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