Organization
INSTITUTE FOR BEAUTY AND WOMEN'S HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY P NERMARK MD OBGYN (PHYSICIAN)
(417) 335-2080
Entity
Organization
Contact information
Practice address
590 W PACIFIC, BRANSON, MO 65616
(417) 335-2080
(417) 335-2080
Mailing address
590 W PACIFIC, BRANSON, MO 65616
(417) 335-2080
(417) 336-3583
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
35042
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891962312
—
MO
05
—
506013903
—
MO
05
—
596013904
—
MO
Enumeration date
07/13/2005
Last updated
09/24/2008
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