Dermatology at Winghaven, LLC
Dermatology at Winghaven, LLC is a Specialist in O Fallon, Missouri. Licensed in Missouri. Registered with an NPI since 2006.
- Licensed in
- MO
- In the registry since
- 2006
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5551 Winghaven Blvd Ste 210O Fallon, MO 63368-3617
Phone: (636) 561-4613
Fax: (636) 561-4610
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 2004011011 (MO) |
|---|
Record details
| NPI number | 1982777413 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rachel Qualley — Physician,Owner · (636) 561-4613 |
| NPI enumerated | November 15, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 5551 Winghaven Blvd, Ste 210, O Fallon, MO 63368-3617 |
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