Organization · Type 2 NPI

Dermatology at Winghaven, LLC

Specialist · O Fallon, MO

NPI number 1982777413 Active

Practice location

5551 Winghaven Blvd, Ste 210
O Fallon, MO 63368-3617

Call (636) 561-4613 Map

Fax (636) 561-4610

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X2004011011 (MO)

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 1982777413

Dermatology at Winghaven, LLC's National Provider Identifier is 1982777413, issued on Nov 15, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in O Fallon, MO. The record was last updated on Aug 22, 2020.