Organization
DERMATOLOGY CENTER, LLC
Active
Organization
DERMATOLOGY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH M MALTERS MD (OWNER)
(573) 364-0122
Entity
Organization
Contact information
Practice address
10101 STOLTZ DR, ROLLA, MO 65401-7714
(573) 364-0122
(573) 364-0129
Mailing address
10101 STOLTZ DR, ROLLA, MO 65401-7714
(573) 364-0122
(573) 364-0129
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MO2001027199
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506121300
—
MO
Enumeration date
12/23/2006
Last updated
05/11/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up