NPI 1336892850

Admiral Dermatology LLC

Organisation MOHS-Micrographic Surgery Physician Springfield, MO

Practice location

Address: 3808 S. Greystone CT., Springfield, MO 65804
Phone: (417) 889-3332
Fax: (417) 881-1410

Authorised official

Name: Michelle Hawkins
Title: Office Manager
Phone: (417) 889-3332

Registered specialties (2)

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X

Other Dermatology providers in Missouri →

Dermatology Physician

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Registry record

NPI: 1336892850
Entity type: Organization
NPI issued: 3 Feb 2022
Record last updated: 3 Feb 2022

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.