Whalio Doctors

NPI 1003025560

Lee S. Portnoff, M.D., P.C.

Organisation MOHS-Micrographic Surgery Physician Saint Louis, MO

Practice location

Address
3009 N Ballas Rd STE 235a, Saint Louis, MO 63131-2308
Phone
(314) 993-2909

Authorised official

Name
Lee S Portnoff
Title
President
Phone
(314) 993-2909

Registered specialties (3)

MOHS-Micrographic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence R9730 (MO)
Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence R9730 (MO)
Procedural Dermatology Physician
Allopathic & Osteopathic Physicians Taxonomy 207NS0135X Licence R9730 (MO)

Registry record

NPI
1003025560
Entity type
Organization
NPI issued
22 May 2007
Record last updated
20 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.