Organization
DERMATOLOGY OFFICE PC
Active
Organization
DERMATOLOGY OFFICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA ADAMS (OWNER/PROVIDER)
(573) 686-4750
Entity
Organization
Contact information
Practice address
1600 W HARPER ST, POPLAR BLUFF, MO 63901-4119
(573) 686-4750
(573) 686-4753
Mailing address
1600 W HARPER ST, POPLAR BLUFF, MO 63901-4119
(573) 686-4750
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Enumeration date
10/15/2008
Last updated
10/16/2024
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