NPI 1013452861

Cleaver Dermatology PC

Organisation Dermatology Physician Kirksville, MO

Practice location

Address: 1316 Country Club Dr, Kirksville, MO 63501-5362
Phone: (660) 627-7546
Fax: (660) 956-7099
Mailing address: PO Box 7545, Kirksville, MO 63501-7545

Authorised official

Name: Crystal K Roberts
Title: Billing Specialist
Phone: (660) 627-7546

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Missouri →

Registry record

NPI: 1013452861
Entity type: Organization
NPI issued: 4 Jan 2017
Record last updated: 4 Jan 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.