Individual provider · Type 1 NPI

Stacy Beaty, MD

Dermatology Physician · St. Louis, MO

NPI number 1669499638 Active

Practice location

1755 S Grand
St. Louis, MO 63104

Call (314) 256-3433 Map

Fax (314) 256-3431

Mailing address

3691 Rutger Ave, Provider Enrollment
St. Louis, MO 63110

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000X2005004429 (MO)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

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About NPI 1669499638

Stacy Beaty, MD's National Provider Identifier is 1669499638, issued on Jul 16, 2006. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in St. Louis, MO. The record was last updated on Jul 8, 2007.