NPI 1053516062

Aibing Mary Guo, MD

Practitioner Dermatology Physician Saint Louis, MO

Practice location

Address: 1225 S Grand Blvd Fl 3, Saint Louis, MO 63104-1016
Phone: (314) 977-3400
Fax: (314) 977-7613
Mailing address: 1008 S Spring Ave Fl 3, Saint Louis, MO 63110-2520

Registered specialties

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence 2010014919 (MO)

Other Dermatology providers in Missouri →

Registry record

NPI: 1053516062
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jun 2007
Record last updated: 26 Jan 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.