Lee S Portnoff M.D.

NPI 1043214505 - Dermatology - 207N00000X

NPI Details
NPI 1043214505
Gender Male
Enumeration Date 06/11/2005
Last Updated 12/31/2009
Entity Type Individual
Active Over 11 years ago
Practice Location
3009 N BALLAS RD
STE 310A
SAINT LOUIS MO, 63131-2353, US
Phone (314) 993-2909
Fax
Business Location
3009 N BALLAS RD
STE 310A
SAINT LOUIS MO, 63131-2353, US
Phone (314) 993-2909
Fax
Toxanomy
Taxonomy Code 207N00000X
License State Missouri
License Number R9730
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According to our database, Dr. Lee S Portnoff M.D. NPI is 1043214505, taxonomy code is 207N00000X and license number is R9730, license state is located at Missouri. Lee S Portnoff M.D. physically located at 3009 N Ballas Rd, Saint Louis MO, 63131-2353. NPI Number Lee S Portnoff M.D. has the Individual type.

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1043214505 NPI number is provided on an as is basis without warranty of any kind. 1043214505 is maintained by the National Plan & Provider Enumeration System. The contents of Lee S Portnoff M.D. are for informational purposes only.