Spring Derm, LLC

NPI #1770196719 in Branson, Missouri

Provider Information

NPI Number
1770196719
Entity Type
Organization
Organization Name
Spring Derm, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
SPRING DERM, LLC
Primary Specialty
Physician Assistant
Enumeration Date
Aug 28, 2020
Last Updated
Aug 28, 2020

Practice Location

Address
800 STATE HIGHWAY 248 STE 2C
ZIP Code
65616-4078
Phone
(417) 766-8000

Authorized Official

Name
DEBORAH HOUSEHOLDER
Title
BILLING/CREDENTIALING MANAGER
Phone
(573) 529-0072

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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