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
Authorized Official
- Name
- DEBORAH HOUSEHOLDER
- Title
- BILLING/CREDENTIALING MANAGER
- Phone
- (573) 529-0072
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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