M & T Dermatology Services Llc in Joplin - Dermatology
M & T Dermatology Services Llc - NPI 1083602015
M & T Dermatology Services Llc is a Dermatology in Joplin, Missouri. M & T Dermatology Services Llc practices all healthcare services and medical treatments related to Dermatology. The NPI Number for M & T Dermatology Services Llc is 1083602015. The last update date is 2008-11-19.
M & T Dermatology Services Llc's current location address is 2829 S Jackson Ave, Joplin, Missouri. You can contact this provider via phone number 4176240440 and fax number 4176249652. The mailing address for M & T Dermatology Services Llc is 2829 S Jackson Ave, Joplin, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | M & T Dermatology Services Llc |
|---|---|
| Address | 2829 S Jackson Ave, Joplin, Missouri |
| Phone Number | 4176240440 |
| Fax Number | 4176249652 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Matlock Stephen Mark |
| Credentials | MD |
| Telephone Number | 4176240440 |
NPI Number Detail
| NPI Number | 1083602015 |
|---|---|
| Provider Enumeration Date | 2005-10-13 |
| Last Updated Date | 2008-11-19 |
Provider Mailing Address Detail
| Address | 2829 S Jackson Ave |
|---|---|
| City | Joplin |
| State | Missouri (MO) |
| Post Code | 648042525 |
| Phone Number | 4176240440 |
| Fax Number | 4176249652 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
|
Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 506068501 | MO | -- | |
| DA0571 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the M & T Dermatology Services Llc's 1083602015?
The M & T Dermatology Services Llc's NPI (National Provider Identifier) Number is 1083602015. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the M & T Dermatology Services Llc's physical address?
The M & T Dermatology Services Llc is physically located at 2829 S Jackson Ave, in the city of Joplin, MO, with the postal code 648042525.
What is the M & T Dermatology Services Llc's area of specialization and corresponding taxonomy classification?
The M & T Dermatology Services Llc's specialty field is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their specialties.
When did M & T Dermatology Services Llc receive its 1083602015 assignment?
The M & T Dermatology Services Llc was assigned its 1083602015 on 2005-10-13, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to M & T Dermatology Services Llc last refreshed?
The information related to the M & T Dermatology Services Llc, including its address, specialty, and other relevant details, was last updated on 2008-11-19.
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