Dr. Joshua Ryan Dimmick
Dermatologist Dermatopathologist
1536 E Primrose St
Springfield
, Missouri 65804-7928
Dr. Joshua Ryan Dimmick
Dermatologist Dermatopathologist
1536 E Primrose St
Springfield
, Missouri 65804-7928
(417) 882-1818
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About
Features
Specialties
- Dermatologist
- Dermatopathologist
Languages spoken
- English
Location
First Address
- Dr. Joshua Ryan Dimmick
- 1536 E Primrose St
- Springfield, MO
- Zip : 65804-7928
- Phone : (417) 882-1818
Second Address
- Dr. Joshua Ryan Dimmick
- 1536 E Primrose St
- Springfield, MO
- Zip : 65804-7928
- Phone : (417) 882-1818
Reviews
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Is Dr. Joshua Ryan Dimmick a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | 2009004969 | MO |
| N | 207N00000X | Dermatologist | M8632 | TX |
| N | 207ND0900X | Dermatopathologist | 2009004969 | MO |
National Provider Identifier
| NPI | 1285838847 |
|---|---|
| Provider Name | Dr. Joshua Ryan Dimmick |
| First Address | Springfield, MO 65804-7928 |
| Second Address | Springfield, MO 65804-7928 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/06/2007 |
| Last Update Date | 22/06/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1285838847 | (05) | MO |
| 148380006 | MISSOURI MEDICARE (01) | MO |
| 3857747604 | MYUTMB 3857747604-COMMERCIAL NUMBER (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.