Organization
OZARKS MEDICAL CENTER
Active
Other names
Ozarks Healthcare Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS KELLER (PRESIDENT & CEO)
(417) 256-9111
Entity
Organization
Contact information
Practice address
1210 N KENTUCKY AVE, WEST PLAINS, MO 65775-2030
(417) 505-7114
(417) 853-5302
Mailing address
PO BOX 1100, WEST PLAINS, MO 65775-1100
(417) 256-9111
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/15/2020
Last updated
07/17/2024
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