Dr. Stacey S Tull, MD
Dr. Stacey S Tull, MD is a Dermatology in Cottleville, Missouri. Graduated from Duke University School of Medicine in 1997, 29 years ago. Practices with Epiphany Dermatology of Missouri LLC, a 21-clinician group and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 29
- Trained at
- Duke University School of Medicine
- Licensed in
- MO
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1493 Cottleville PkwyCottleville, MO 63376-3564
Phone: (636) 317-3376
Fax: (636) 244-1197
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 2000153517 (MO) |
|---|
Record details
| NPI number | 1467407239 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | May 23, 2006 |
| Last updated in NPPES | February 19, 2020 |
| Certification date | February 19, 2020 |
| Mailing address | 1493 Cottleville Pkwy, Cottleville, MO 63376-3564 |
Medicare enrollment
| Medicare specialty | DERMATOLOGY |
|---|---|
| Also practises | MICROGRAPHIC DERMATOLOGIC SURGERY (MDS) |
| Medical school | DUKE UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1997 (29 years in practice) |
| Group practice | Epiphany Dermatology Of Missouri Llc — 21 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |