Skin Surgery Center Of Missouri, Llc in O Fallon - Procedural Dermatology
Skin Surgery Center Of Missouri, Llc - NPI 1760662514
Skin Surgery Center Of Missouri, Llc is a Procedural Dermatology in O Fallon, Missouri. Skin Surgery Center Of Missouri, Llc practices all healthcare services and medical treatments related to Procedural Dermatology. The NPI Number for Skin Surgery Center Of Missouri, Llc is 1760662514. The last update date is 2021-01-11.
Skin Surgery Center Of Missouri, Llc's current location address is 6704 Keaton Corporate Pkwy, O Fallon, Missouri. You can contact this provider via phone number 6363009596 and fax number 6363009598. The mailing address for Skin Surgery Center Of Missouri, Llc is 6704 Keaton Corporate Pkwy, O Fallon, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Skin Surgery Center Of Missouri, Llc |
|---|---|
| Address | 6704 Keaton Corporate Pkwy, O Fallon, Missouri |
| Phone Number | 6363009596 |
| Fax Number | 6363009598 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Raza Taufiq Saadia |
| Telephone Number | 3142760385 |
NPI Number Detail
| NPI Number | 1760662514 |
|---|---|
| Provider Enumeration Date | 2007-11-09 |
| Last Updated Date | 2021-01-11 |
Provider Mailing Address Detail
| Address | 6704 Keaton Corporate Pkwy |
|---|---|
| City | O Fallon |
| State | Missouri (MO) |
| Post Code | 633688680 |
| Phone Number | 6363009596 |
| Fax Number | 6363009598 |
Provider's Primary Taxonomy Detail
| Speciality | Procedural Dermatology |
|---|---|
| Taxonomy | 207Ns0135X |
|
Definition: Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surge |
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What is the unique provider identifier assigned to Skin Surgery Center Of Missouri, Llc?
The Skin Surgery Center Of Missouri, Llc has been issued the NPI (National Provider Identifier) 1760662514 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Skin Surgery Center Of Missouri, Llc's physical address?
The Skin Surgery Center Of Missouri, Llc is physically located at 6704 Keaton Corporate Pkwy, in the city of O Fallon, MO, with the postal code 633688680.
What is Skin Surgery Center Of Missouri, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Skin Surgery Center Of Missouri, Llc is Procedural Dermatology, and the corresponding taxonomy classification code for this specialized field is 207Ns0135X.
On what date did the Skin Surgery Center Of Missouri, Llc receive the assignment of its 1760662514 from the Centers for Medicare & Medicaid Services?
The Skin Surgery Center Of Missouri, Llc was issued its 1760662514 by the Centers for Medicare & Medicaid Services on 2007-11-09.
When was the information related to Skin Surgery Center Of Missouri, Llc most recently updated or refreshed?
The details pertaining to the Skin Surgery Center Of Missouri, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2021-01-11.
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