Organization · Type 2 NPI

Mid-County Dermatology, Inc

Specialist · St. Louis, MO

NPI number 1295913028 Active

Practice location

3009 N Ballas Rd, Ste 208B
St. Louis, MO 63131-2322

Fax (314) 994-7945

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: 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.

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About NPI 1295913028

Mid-County Dermatology, Inc's National Provider Identifier is 1295913028, issued on Feb 4, 2008. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Louis, MO. The record was last updated on Jan 20, 2009.