Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

O'Fallon Dermatology Specialists, PC

Organization Specialist · NPI 1255468906

O'Fallon Dermatology Specialists, PC is a Specialist in O Fallon, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7136 S Outer Road 364
O Fallon, MO 63368-7756
Phone: (636) 561-3277
Fax: (636) 561-5280
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 2004004910 (MO)

Record details

NPI number1255468906
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Spray — Physician · (636) 561-3277
NPI enumeratedFebruary 28, 2007
Last updated in NPPESMarch 22, 2015
Mailing address7136 S Outer Road 364, O Fallon, MO 63368-7756

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