Family Medicine
ALLIANCE HEALTH & DERMATOLOGY
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1790818599 · enumerated 2007-03-13 · record updated 2020-02-06. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: Mr. RAMIRO ICAZA M.D., Administrator · (573) 243-2154
Other names: C/O RAMIRO ICAZA
Addresses and phones
- Mailing address 304 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO, 63703-4920 (573) 803-3331 Fax (573) 243-3400 Google Maps Apple Maps OpenStreetMap
- Practice location 304 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO, 63703-4920 (573) 803-3331 Fax (573) 803-2905 Google Maps Apple Maps OpenStreetMap
Specialties
- Family Medicine 207Q00000X · Primary · License MDR7D79 MO
In this directory
Locations and evidence
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Practice location
CAPE GIRARDEAU, MO, 637034920
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.