Photorealistic Areola & Healing Arts Institute
NPI #1306683255 in Springfield, Missouri
Provider Information
- NPI Number
- 1306683255
- Entity Type
- Organization
- Organization Name
- Photorealistic Areola & Healing Arts Institute
- Primary Specialty
- Specialist/Technologist, Other
- Enumeration Date
- Jul 9, 2024
- Last Updated
- Oct 29, 2025
Practice Location
- Address
- 4058 S LONE PINE AVE
- City
- Springfield
- State
- Missouri
- ZIP Code
- 65804-6605
- Phone
- (417) 763-5414
Authorized Official
- Name
- JENNIFER WILLIAMS
- Title
- BILLING MANAGER
- Phone
- (407) 982-4876
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other |
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