Advanced Dermatology Of Southeast Missouri Pc

LBN: Advanced Dermatology Of Southeast Missouri Pc
Advanced Dermatology Of Southeast Missouri Pc is an health care organization with primary practice located at 2116 Megan Dr Ste 102 , Cape Girardeau MO 63701-1979. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty. Advanced Dermatology Of Southeast Missouri Pc can be contacted via phone (573) 335-7546, or through Moon, Charles Morris via phone (573) 335-7546.

Contact Information

Primary practice address
2116 Megan Dr Ste 102 Cape Girardeau MO 63701-1979
Phone: (573) 335-7546
Fax: (573) 335-7550
Website:
Map and Directions
Authorized official contact:
Name: Moon, Charles Morris Doctor of Medicine (MD)
Phone: (573) 335-7546

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2007038037 Missouri

Profile Details

NPI number 1770713950
LBN Legal business name Advanced Dermatology Of Southeast Missouri Pc
DBA Doing business as
Authorized official Moon, Charles Morris Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2009
Last updated Sep 15th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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