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

Columbia Dermatology, Inc

Organization Dermatology Physician · NPI 1609960509

Columbia Dermatology, Inc is a Dermatology Physician in Columbia, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

401 N Keene St
Columbia, MO 65201-6625
Phone: (573) 876-1616
Fax: (573) 876-1678
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 107883 (MO)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 107883 (MO)

Record details

NPI number1609960509
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lindall Perry — President · (573) 876-1616
NPI enumeratedOctober 3, 2006
Last updated in NPPESSeptember 5, 2012
Mailing address401 N Keene St, Columbia, MO 65201-6625

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