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

Riverside Dermatology & Spa LLC

Organization Multi-Specialty Clinic/Center · NPI 1699262329

Riverside Dermatology & Spa LLC is a Multi-Specialty Clinic/Center in Hannibal, Missouri. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

163 Medical Dr
Hannibal, MO 63401-6884
Phone: (573) 822-4428
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X

Record details

NPI number1699262329
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Linda Cooke — Owner · (573) 822-3328
NPI enumeratedApril 18, 2018
Last updated in NPPESApril 18, 2018
Mailing address163 Medical Dr, Hannibal, MO 63401-6884

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