Organization
PIONEER DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW S. BERG PA-C (PROVIDER/PARTNER)
(816) 365-4161
Entity
Organization
Contact information
Practice address
1324 NE WINDSOR DR, LEES SUMMIT, MO 64086-8477
(816) 944-1944
(816) 944-1030
Mailing address
1324 NE WINDSOR DR, LEES SUMMIT, MO 64086-8477
(816) 944-1944
(816) 944-1030
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
10/11/2025
Last updated
11/27/2025
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