MID-COUNTY DERMATOLOGY, INC is a specialist in Saint Louis, MO. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MID-COUNTY DERMATOLOGY, INC NPI is 1295913028. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
3009 N BALLAS RD
STE 208B
SAINT LOUIS, MO
ZIP 63131-322
Phone: (314) 994-0200
Fax: (314) 994-7945
The provider's authorized official is Connie Gibstine .
The authorized official title is Manager and has the following contact phone number (314) 994-0200.
The CLIA number assigned to this NPI record is 26D0946699 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 2/4/2008 and was last updated on 1/20/2009.