Individual
LINDALL A PERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 KEENE ST, COLUMBIA, MO 65201-6625
(573) 876-1616
(573) 876-1678
Mailing address
401 KEENE ST, COLUMBIA, MO 65201-6625
(573) 876-1616
(573) 876-1678
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
107883
MO
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
107883
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208550749
—
MO
Enumeration date
05/05/2006
Last updated
09/05/2012
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