Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alliance Health & Dermatology

Organization Family Medicine Physician · NPI 1790818599

Alliance Health & Dermatology is a Family Medicine Physician in Cape Girardeau, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007

Practice location Address checks out

304 S Mount Auburn Rd
Cape Girardeau, MO 63703-4920
Phone: (573) 803-3331
Fax: (573) 803-2905
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MDR7D79 (MO)

Record details

NPI number1790818599
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ramiro Icaza — Administrator · (573) 243-2154
Other names C/O Ramiro Icaza; C/O Ramiro Icaza
NPI enumeratedMarch 13, 2007
Last updated in NPPESFebruary 6, 2020
Certification dateFebruary 6, 2020
Mailing address304 S Mount Auburn Rd, Cape Girardeau, MO 63703-4920

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