RIVERSIDE DERMATOLOGY & SPA LLC

HANNIBAL, MO
NPI1699262329
Entity TypeOrganization
Authorized ContactLINDA COOKE
Owner
573-822-3328
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Enumeration Date2018-04-18
Last Update Date2018-04-18
Business Address
RIVERSIDE DERMATOLOGY & SPA LLC
163 MEDICAL DR
HANNIBAL, MO 63401-6884
Phone number: 573-822-4428
Mailing Address
RIVERSIDE DERMATOLOGY & SPA LLC
163 MEDICAL DR
HANNIBAL, MO 63401-6884
Phone number: 573-822-4428
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