Shaffer Rainey Dermatology | |
110 Business Park Dr Ste C Branson MO 65616-7426 | |
(417) 239-0125 | |
Not Available |
Full Name | Shaffer Rainey Dermatology |
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Speciality | Clinic/center |
Location | 110 Business Park Dr Ste C, Branson, Missouri |
Authorized Official Name and Position | Christy Shaffer Rainey (OWNER) |
Authorized Official Contact | 4172390125 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Shaffer Rainey Dermatology 110 Business Park Drive Suite C Branson MO 65616-8156 Ph: (417) 239-0125 | Shaffer Rainey Dermatology 110 Business Park Dr Ste C Branson MO 65616-7426 Ph: (417) 239-0125 |
NPI Number | 1174793533 |
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Provider Enumeration Date | 03/01/2008 |
Last Update Date | 07/06/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174793533 | NPI | - | NPPES |
204056105 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 2007035572 (Missouri) | Primary |
Drs Family Medical Clinic, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 118 N 3rd St, Branson, MO 65616 Phone: 417-334-3655 Fax: 417-334-3614 | |