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Organization

DERMATOLOGY CENTER OF COLUMBIA, LLC

Active
Other names
Dermatology Center of Columbia, Columbia Dermatology and Cosmetic Surgery, LLC
Organization subpart
No

Provider details

NPI number
Authorized official
KAITLIN SCHIAVO MD (PHYSICIAN/ OWNER)
(573) 673-2496
Entity
Organization

Contact information

Practice address
204 N KEENE ST STE 100, COLUMBIA, MO 65201-8136
(573) 442-0320
Mailing address
204 N KEENE ST STE 100, COLUMBIA, MO 65201-8136
(573) 442-0320

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary

Other

Enumeration date
05/24/2019
Last updated
01/25/2023
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