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1619714425
ROLLA DERMATOLOGY LLC
ROLLA, MO
NPI
1619714425
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Entity Type
Organization
Authorized Contact
DARRIN TAYLOR
Manager
417-766-2043
Organization Subpart ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2024-07-09
Last Update Date
2024-07-22
Business Address
ROLLA DERMATOLOGY LLC
1312 E STATE HWY 72
ROLLA, MO 65401-3939
Phone number: 573-426-4112
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Mailing Address
ROLLA DERMATOLOGY LLC
13109 STERLING HILLS DR
ROLLA, MO 65401-6644
Phone number: 417-766-2043
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