Organization
RIVERSIDE DERMATOLOGY & SPA LLC
Active
Organization
RIVERSIDE DERMATOLOGY & SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA COOKE MD (OWNER)
(573) 822-3328
Entity
Organization
Contact information
Practice address
163 MEDICAL DR, HANNIBAL, MO 63401-6884
(573) 822-4428
Mailing address
163 MEDICAL DR, HANNIBAL, MO 63401-6884
(573) 822-4428
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/18/2018
Last updated
04/18/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up