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

Spring Derm, LLC

Organization Physician Assistant · NPI 1770196719

Spring Derm, LLC is a Physician Assistant in Branson, Missouri. Works from 2 locations. Registered with an NPI since 2020.

In the registry since
2020
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

800 State Highway 248 Ste 2C
Branson, MO 65616-4078
Phone: (417) 766-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2918 E Battlefield Road, Springfield, MO 65804-4016 — (573) 225-7941

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1770196719
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSpring Derm, LLC
Authorized official Deborah Householder — Billing/Credentialing Manager · (573) 529-0072
NPI enumeratedAugust 28, 2020
Last updated in NPPESAugust 28, 2020
Certification dateAugust 28, 2020
Mailing addressPo Box 913, Rogersville, MO 65742-0913

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