Organization
CENTRAL MISSOURI DERMATOLOGY ASSOCIATES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDALL PERRY M.D. (PRESIDENT)
(573) 876-1616
Entity
Organization
Contact information
Practice address
401 N KEENE ST, COLUMBIA, MO 65201-6625
(573) 876-1616
(573) 876-1678
Mailing address
401 N KEENE ST, COLUMBIA, MO 65201-6625
(573) 876-1616
(573) 876-1678
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/08/2014
Last updated
08/08/2014
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