Dermatology and Surgery PC
Organization Active NPI Dermatology Physician · Nevada, MO
NPI 1154593374 · NPPES record last updated Oct 23, 2008
Key facts
- NPI
- 1154593374
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- 2008006946 (MO)
- Legal business name
- DERMATOLOGY AND SURGERY PC
- Practice address
- 123 S Main St
Nevada, MO 64772-3363 - Phone
- (515) 210-4855
- Fax
- (515) 241-2013
- NPI assigned
- Mar 27, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Andrew K Bean, MD
- Title
- President
- Phone
- (515) 210-4855
National Provider Directory
Locations
4949 Westown Pkwy
#165127
West Des Moines, IA 50266
5910 Ashworth Rd
#222
West Des Moines, IA 50266
123 S Main St
Nevada, MO 64772
Phone (417) 667-7300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician |
207N00000X | 2008006946 | MO | Yes |
Addresses
Primary practice location
123 S Main St
Nevada, MO 64772-3363
Mailing address
5910 Ashworth Rd # 222
West Des Moines, IA 50266-7108
Phone (515) 210-4855
Other names
- Nevada Dermatology
Other providers in Nevada, MO
- Dandelion Skies LLC
- Juanita Davidson
- Linda Ellen Davidson
- Ralea Beth Degruson
- Kimberly S Delgado
- Joseph T Dodd
- Sarah Elaine Dodson
- Jennifer K Doyle
- Dr. Scott Beard
- Dr. Scott Compton D.O.
All providers in Nevada, MO · Dermatology Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.