Stacy Beaty in St Louis - Dermatology

Stacy Beaty - NPI 1669499638

Stacy Beaty is a Dermatology in St Louis, Missouri. Stacy Beaty practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Stacy Beaty is 1669499638. The last update date is 2007-07-08.

Stacy Beaty's current location address is 3691 Rutger Ave, St Louis, Missouri. You can contact this provider via phone number 3149776828 and fax number 3149776777. The mailing address for Stacy Beaty is 3691 Rutger Ave, St Louis, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Stacy Beaty
Address 3691 Rutger Ave, St Louis, Missouri
Phone Number 3149776828
Fax Number 3149776777
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1669499638
Provider Enumeration Date 2006-07-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3691 Rutger Ave
City St Louis
State Missouri (MO)
Post Code 63110
Phone Number 3149776828
Fax Number 3149776777

Provider's Primary Taxonomy Detail

Speciality Dermatology
Taxonomy 207N00000X
Licence No 2005004429
Definition:
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had

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FAQs about Stacy Beaty

What is the unique identification code assigned to Stacy Beaty by the Centers for Medicare & Medicaid Services?

The Stacy Beaty has been issued the NPI (National Provider Identifier) 1669499638. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Stacy Beaty?

The Stacy Beaty is situated at 3691 Rutger Ave, in the city of St Louis, state of MO, with the zip code 63110.

What is the Stacy Beaty's specialty and taxonomy code?

The Stacy Beaty's specialty is Dermatology, and the corresponding taxonomy code is 207N00000X.

When was the Stacy Beaty's 1669499638 issued?

The Stacy Beaty's 1669499638 was issued on 2006-07-16.

As of what date were the Stacy Beaty's details last updated?

The information pertaining to the Stacy Beaty, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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