First Capitol Dermatology, LLC
First Capitol Dermatology, LLC is an MOHS-Micrographic Surgery Physician in St. Charles, Missouri. Licensed in Missouri. Registered with an NPI since 2008.
- Licensed in
- MO
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
901 S 5th St First Capitol Dermatology L.l.cSt. Charles, MO 63301-2416
Phone: (636) 916-1300
Fax: (636) 916-1561
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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 R4P68 |
|---|---|
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X · Licence R4P68 (MO) |
Record details
| NPI number | 1730352394 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Henry Clever — Physician/Owner · (636) 916-1300 |
| NPI enumerated | April 3, 2008 |
| Last updated in NPPES | March 1, 2017 |
| Mailing address | 901 S. 5th St., First Capitol Dermatology, L.L.C., St. Charles, MO 63301-2416 |
Other providers in St. Charles
-
Henry W Clever III, MD
901 S 5th St, St. Charles, MO 63301 · (636) 916-1300