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Dermatology And Mohs Surgery Skin Cancer Center

Dermatology in Branson, MO. Organization (NPI-2).

NPI number1124763479
StatusActive
Last updated in NPPESDec 17, 2024

Details

NPI
1124763479
Entity type
Organization (NPI-2)
Legal business name
Dermatology And Mohs Surgery Skin Cancer Center
Organization subpart
No
Enumeration date
May 2, 2022
Certification date
Dec 17, 2024
Last updated
Dec 17, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207N00000X Dermatology––Yes
207ND0101X Dermatology, MOHS-Micrographic Surgery––

Practice location

110 Business Park Dr Ste C
Branson, MO 65616-7449

Phone 417-336-0033 · Fax 417-239-0127

Mailing address

110 Business Park Dr Ste C
Branson, MO 65616-7449

Phone 417-336-0033 · Fax 855-710-6552

Other practice locations

1230 E Kingsley St Ste A
Springfield, MO 65804-7231

Phone 417-336-0033 · Fax 855-710-6552

10101 Stoltz Dr
Rolla, MO 65401-7714

Phone 417-336-0033 · Fax 855-710-6552

914 Alexis
Lebanon, MO 65536-6802

Phone 417-336-0033 · Fax 855-710-6552

520 E 32nd St
Joplin, MO 64804-3904

Phone 417-336-0033 · Fax 855-710-6552

2200 E Cleveland St
Monett, MO 65708-6149

Phone 417-336-0033 · Fax 855-710-6552

Authorized official

Adrienne Michele Schupbach
Owner/Physician
3095338899

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