PREMIER DERMATOLOGY LLC 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. PREMIER DERMATOLOGY LLC NPI is 1699169086. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
456 N NEW BALLAS RD
SUITE 118
SAINT LOUIS, MO
ZIP 63141-831
Phone: (314) 567-1400
Fax: (314) 567-9559
The provider's authorized official is Jeff T Reed .
The authorized official title is Owner and has the following contact phone number (314) 567-1400.
The CLIA number assigned to this NPI record is 26D2081535 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/24/2015 and was last updated on 3/24/2015.