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

Phelan Dermatology & Aesthetics

Organization Dermatology Physician · NPI 1942881677

Phelan Dermatology & Aesthetics is a Dermatology Physician in Joplin, Missouri. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
3
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Practice location Address checks out

520 E 32nd St
Joplin, MO 64804-3904
Phone: (417) 622-0293
Fax: (833) 275-1784
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 21088 Us Business Highway 71, Pineville, MO 64856 — (417) 622-0293

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X
Procedural Dermatology Physician Taxonomy 207NS0135X

Record details

NPI number1942881677
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jorge Martinez — Practice Administrator · (417) 622-0293
NPI enumeratedApril 15, 2021
Last updated in NPPESDecember 24, 2024
Certification dateDecember 24, 2024
Mailing address520 E 32nd St, Joplin, MO 64804-3904

Other providers in Joplin