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Organization

SHAFFER RAINEY DERMATOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTY SHAFFER RAINEY M.D. (OWNER)
(417) 239-0125
Entity
Organization

Contact information

Practice address
110 BUSINESS PARK DR STE C, BRANSON, MO 65616-7426
(417) 239-0125
Mailing address
110 BUSINESS PARK DRIVE, SUITE C, BRANSON, MO 65616-8156
(417) 239-0125
(417) 239-0125

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
2007035572
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
204056105
MO
Enumeration date
03/01/2008
Last updated
07/06/2009
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