Organization
ROLLA DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRIN TAYLOR PA-C (MANAGER)
(417) 766-2043
Entity
Organization
Contact information
Practice address
1312 E STATE HWY 72, ROLLA, MO 65401-3939
(573) 426-4112
Mailing address
13109 STERLING HILLS DR, ROLLA, MO 65401-6644
(417) 766-2043
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
07/22/2024
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