St Charles County Dermatologic Surgery, Llc

LBN: St Charles County Dermatologic Surgery, Llc
St Charles County Dermatologic Surgery, Llc is an health care organization with primary practice located at 1493 Cottleville Pkwy , Cottleville MO 63376-3564. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Procedural Dermatology, which is considered as the primary health care specialty. St Charles County Dermatologic Surgery, Llc can be contacted via phone (636) 317-3376, or through Tull, Stacey S via phone (636) 327-3376.

Contact Information

Primary practice address
1493 Cottleville Pkwy Cottleville MO 63376-3564
Phone: (636) 317-3376
Fax: (636) 244-1197
Website:
Map and Directions
Authorized official contact:
Name: Tull, Stacey S Doctor of Medicine (MD)
Phone: (636) 327-3376

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X

Profile Details

NPI number 1235761438
LBN Legal business name St Charles County Dermatologic Surgery, Llc
DBA Doing business as
Authorized official Tull, Stacey S Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2020
Last updated Feb 6th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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