Organization · Type 2 NPI

ST Louis University

Pediatric Dermatology Physician · St. Louis, MO

NPI number 1346461241 Active

Practice location

1465 S Grand Blvd
St. Louis, MO 63104-1003

Call (314) 268-4010 Map

Mailing address

3545 Lindell Blvd Fl 3
St. Louis, MO 63103-1020

Other practice locations

1755 S Grand Blvd, St. Louis, MO 63104-1540 · (314) 256-3400

Specialties and licenses

Taxonomy	Code	License
Pediatric Dermatology Physician Primary	207NP0225X	None listed

Pediatric Dermatology Physician: A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

572 other providers at this address

NPI record

NPI: 1346461241
Entity type: Organization (Type 2)
Issued: May 1, 2007
Last updated: Sep 21, 2021
Status: Active

Other names

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Slucare Dept of Pediatric Dermatology · doing business as
Slucare Dept of Pediatric Dermatology · doing business as

Authorized official

Alyce Lanxon
Executive Director
(314) 977-6828

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About NPI 1346461241

ST Louis University's National Provider Identifier is 1346461241, issued on May 1, 2007. The primary taxonomy on file is Pediatric Dermatology Physician (207NP0225X), and the practice location is in St. Louis, MO. The record was last updated on Sep 21, 2021.