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

Mid-Missouri Dermatologists, Inc

Organization Dermatology Physician · NPI 1619302957

Mid-Missouri Dermatologists, Inc is a Dermatology Physician in Columbia, Missouri. Licensed in Missouri. Registered with an NPI since 2013.

Licensed in
MO
In the registry since
2013
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

1504 E Broadway
Columbia, MO 65201-8077
Phone: (573) 442-3565
Fax: (573) 443-2172
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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 30179 (MO)

Record details

NPI number1619302957
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Foote — President · (573) 442-3565
NPI enumeratedSeptember 5, 2013
Last updated in NPPESSeptember 5, 2013
Mailing address1504 E Broadway, Columbia, MO 65201-8077

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