DERMATOLOGY AND CUTANEOUS SURGERY INC NPI 1629043534

NPI Information

DERMATOLOGY AND CUTANEOUS SURGERY, 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. DERMATOLOGY AND CUTANEOUS SURGERY, INC NPI is 1629043534. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

621 S NEW BALLAS RD
498A
SAINT LOUIS, MO
ZIP 63141-232
Phone: (314) 251-3376
Fax: (314) 251-5781

The provider's authorized official is Michael E Mccadden .
The authorized official title is Owner President and has the following contact phone number (314) 251-3376.

The CLIA number assigned to this NPI record is 26D0440495 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/22/2006 and was last updated on 11/30/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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