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

Columbia Dermatology, Inc

Organization Dermatology Physician · NPI 1609960509

Columbia Dermatology, Inc provides Dermatology Physician services in Columbia, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
Specialties on file
2
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

401 N Keene St
Columbia, MO 65201-6625 Not confirmed with CMS for 14 years — call before visiting
Phone: (573) 876-1616
Fax: (573) 876-1678
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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 107883 (MO)
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X · Licence 107883 (MO)

Record details

NPI number1609960509
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lindall Perry — President · (573) 876-1616
NPI enumeratedOctober 3, 2006
Last updated in NPPESSeptember 5, 2012
Mailing address401 N Keene St, Columbia, MO 65201-6625

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