Organization
ADMIRAL DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HAWKINS (OFFICE MANAGER)
(417) 889-3332
Entity
Organization
Contact information
Practice address
3808 S. GREYSTONE CT., SPRINGFIELD, MO 65804
(417) 889-3332
(417) 881-1410
Mailing address
3808 S. GREYSTONE CT., SPRINGFIELD, MO 65804
(417) 889-3332
(417) 881-1410
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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