Organization
SPRING DERM, LLC
Active
Parent organization
SPRING DERM, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPRING DERM, LLC
Authorized official
DEBORAH HOUSEHOLDER (BILLING/CREDENTIALING MANAGER)
(573) 529-0072
Entity
Organization
Contact information
Practice address
800 STATE HIGHWAY 248 STE 2C, BRANSON, MO 65616-4078
(417) 766-8000
Mailing address
PO BOX 913, ROGERSVILLE, MO 65742-0913
(417) 766-8002
(888) 773-3706
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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