M & T Dermatology Services Llc

NPI 1083602015 - Dermatology - 207N00000X

NPI Details
NPI 1083602015
Enumeration Date 10/13/2005
Last Updated 11/19/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MARK STEPHEN MARK
Position OWNER
Phone (417) 624-0440
Fax (417) 624-9652
Practice Location
2829 S JACKSON AVE
JOPLIN MO, 64804-2525, US
Phone (417) 624-0440
Fax (417) 624-9652
Business Location
2829 S JACKSON AVE
JOPLIN MO, 64804-2525, US
Phone (417) 624-0440
Fax (417) 624-9652
Toxanomy
Taxonomy Code 207N00000X
License State
License Number
Remove 1083602015 NPI Number
 

According to our database, M & T Dermatology Services Llc NPI is 1083602015, taxonomy code is 207N00000X M & T Dermatology Services Llc physically located at 2829 S Jackson Ave, Joplin MO, 64804-2525. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1083602015 NPI number is provided on an as is basis without warranty of any kind. 1083602015 is maintained by the National Plan & Provider Enumeration System. The contents of M & T Dermatology Services Llc are for informational purposes only.