MID-MISSOURI DERMATOLOGISTS, INC

COLUMBIA, MO
NPI1619302957
Entity TypeOrganization
Authorized ContactJERRY EDWARD FOOTE
President
573-442-3565
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
(Licence: MO  30179)
Enumeration Date2013-09-05
Last Update Date2013-09-05
Business Address
MID-MISSOURI DERMATOLOGISTS, INC
1504 E BROADWAY
COLUMBIA, MO 65201-8077
Phone number: 573-442-3565
Mailing Address
MID-MISSOURI DERMATOLOGISTS, INC
1504 E BROADWAY
COLUMBIA, MO 65201-8077
Phone number: 573-442-3565
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