Organization · Type 2 NPI

Aesthetic Dermatologic Surgery

MOHS-Micrographic Surgery Physician · St. Louis, MO

NPI number 1982897450 Active

Practice location

9717 Landmark Parkway Dr, Suite 115
St. Louis, MO 63127-1628

Call (314) 849-7546 Map

Fax (314) 849-7558

Mailing address

PO Box 270686
St. Louis, MO 63127-0686

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician 207N00000X2001005039 (MO)
MOHS-Micrographic Surgery Physician Primary 207ND0101X2001005039 (MO)
Dermatopathology Physician 207ND0900X2001005039 (MO)
Pediatric Dermatology Physician 207NP0225X2001005039 (MO)
Procedural Dermatology Physician 207NS0135X2001005039 (MO)

MOHS-Micrographic Surgery Physician: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one…

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About NPI 1982897450

Aesthetic Dermatologic Surgery's National Provider Identifier is 1982897450, issued on Aug 19, 2007. The primary taxonomy on file is MOHS-Micrographic Surgery Physician (207ND0101X), and the practice location is in St. Louis, MO. The record was last updated on Aug 27, 2009.