Organization
ALLIANCE HEALTH AND DERMATOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA BECKER (OFFICE MANAGER)
(573) 803-3331
Entity
Organization
Contact information
Practice address
304 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-4920
(573) 803-3331
Mailing address
304 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-4920
(573) 803-3331
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/20/2019
Last updated
03/24/2025
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