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Search › Missouri › 122300000X

Randal Hillis, DDS

NPI 1710933353 · on the registry since 2006 · sole proprietor

Practice

Address
1600 West Harper Street
Poplar Bluff, MO 63901
Phone
(573) 785-6699
Fax
(573) 785-3424
Organisation at this address
Randal L. Hillis Dds
Dermatology Office Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri