Organization
CENTRAL MISSOURI DERMATOLOGY ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY MARTIN (BILLING MANAGER)
(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
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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