Organization · Type 2 NPI

Susan D Purcell MD Dermatology LLC

Medical Specialty Clinic/Center · St. Louis, MO

NPI number 1871044735 Active

Practice location

969 N Mason Rd Ste 170
St. Louis, MO 63141-6387

Specialties and licenses

Taxonomy	Code	License
Medical Specialty Clinic/Center Primary	261QM2500X	2008007453 (MO)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

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About NPI 1871044735

Susan D Purcell MD Dermatology LLC's National Provider Identifier is 1871044735, issued on Oct 16, 2016. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in St. Louis, MO. The record was last updated on Dec 12, 2016.