Aesthetic Dermatologic Surgery
Aesthetic Dermatologic Surgery is a Dermatology Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2007.
- Licensed in
- MO
- In the registry since
- 2007
- Specialties on file
- 5
Practice location Address checks out
9717 Landmark Parkway Dr Ste 115Saint Louis, MO 63127-1628
Phone: (314) 849-7546
Fax: (314) 849-7558
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| MOHS-Micrographic Surgery Physician (primary) | Taxonomy 207ND0101X · Licence 2001005039 (MO) |
|---|---|
| Dermatology Physician | Taxonomy 207N00000X · Licence 2001005039 (MO) |
| Dermatopathology Physician | Taxonomy 207ND0900X · Licence 2001005039 (MO) |
| Pediatric Dermatology Physician | Taxonomy 207NP0225X · Licence 2001005039 (MO) |
| Procedural Dermatology Physician | Taxonomy 207NS0135X · Licence 2001005039 (MO) |
Record details
| NPI number | 1982897450 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Erin Gardner — Physician/Owner · (314) 849-7546 |
| NPI enumerated | August 19, 2007 |
| Last updated in NPPES | August 27, 2009 |
| Mailing address | Po Box 270686, Saint Louis, MO 63127-0686 |
Other providers in Saint Louis
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Dr. Mallory Shiver Abate, MD
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-
Anna Marie Aiazzi
10012 Kennerly Rd Ste 401, Saint Louis, MO 63128-2197 · (314) 842-5660
-
Dr. Milan Jatin Anadkat, MD
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-
Dr. Frederick Durlin Bauschard, MD
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-
Dr. Susan Joy Bayliss, MD
1 Childrens Pl Div Im Dermatology Ste 2A And 2D, Saint Louis, MO 63110-1002 · (314) 454-2714