NPI 1225619844

Colton Health Mo LLC

Organisation Dermatology Physician St Louis, MO

Practice location

Address: 10004 Kennerly Road Suite 210a, St Louis, MO 63128-5116
Phone: (314) 842-3525
Fax: (314) 842-3337
Mailing address: 9097 E Desert Cove Ave Suite 100, Scottsdale, AZ 85260-6276

Authorised official

Name: Sukhjit Ghuman
Title: Owner
Phone: (480) 609-4200

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X

Other Dermatology providers in Missouri →

Registry record

NPI: 1225619844
Entity type: Organization
NPI issued: 15 Apr 2021
Record last updated: 16 Apr 2021

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.