NPI 1962624585

St Louis University

Organisation MOHS-Micrographic Surgery Physician St Louis, MO

Practice location

Address: 1225 South Grand, 2l, Door 3,4,5, St Louis, MO 63104
Phone: (314) 977-3400
Mailing address: 3545 Lindell Blvd Fl 3, Saint Louis, MO 63103-1020

Authorised official

Name: Alyce Lanxon
Title: Executive Director
Phone: (314) 977-6828

Registered specialties

MOHS-Micrographic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ND0101X

Other Dermatology providers in Missouri →

Registry record

NPI: 1962624585
Entity type: Organization
NPI issued: 3 May 2007
Record last updated: 21 Sep 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.