Skin Surgery Center of Missouri, LLC
Skin Surgery Center of Missouri, LLC is a Procedural Dermatology Physician 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?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6704 Keaton Corporate Pkwy Ste 100O Fallon, MO 63368-8680
Phone: (636) 300-9596
Fax: (636) 300-9598
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Procedural Dermatology Physician (primary) | Taxonomy 207NS0135X (MO) |
|---|
Record details
| NPI number | 1760662514 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Saadia Raza — Director · (314) 276-0385 |
| NPI enumerated | November 9, 2007 |
| Last updated in NPPES | January 11, 2021 |
| Certification date | January 11, 2021 |
| Mailing address | 6704 Keaton Corporate Pkwy, O Fallon, MO 63368-8680 |