Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Alliance Health & Dermatology

Organization Family Medicine Physician · NPI 1790818599

Alliance Health & Dermatology provides Family Medicine Physician services in Cape Girardeau, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007

Practice location Address checks out

304 S Mount Auburn Rd
Cape Girardeau, MO 63703-4920
Phone: (573) 803-3331
Fax: (573) 803-2905
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MDR7D79 (MO)

Record details

NPI number1790818599
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ramiro Icaza — Administrator · (573) 243-2154
Other names C/O Ramiro Icaza; C/O Ramiro Icaza
NPI enumeratedMarch 13, 2007
Last updated in NPPESFebruary 6, 2020
Certification dateFebruary 6, 2020
Mailing address304 S Mount Auburn Rd, Cape Girardeau, MO 63703-4920

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