First Capitol Dermatology,llc

NPI 1730352394 - Dermatology - 207ND0101X

NPI Details
NPI 1730352394
Enumeration Date 04/03/2008
Last Updated 06/19/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name LIBBY A LIBBY
Position CERTIFIED DERMATOLOGY CODER
Phone (636) 916-1300
Fax (636) 916-1561
Practice Location
901 S 5TH ST
SAINT CHARLES MO, 63301-2416, US
Phone (636) 916-1300
Fax (636) 916-1561
Business Location
901 S 5TH ST
SAINT CHARLES MO, 63301-2416, US
Phone (636) 916-1300
Fax (636) 916-1561
Toxanomy
Taxonomy Code 207ND0101X
License State Missouri
License Number R4P68
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According to our database, First Capitol Dermatology,llc NPI is 1730352394, taxonomy code is 207ND0101X and license number is R4P68, license state is located at Missouri. First Capitol Dermatology,llc physically located at 901 S 5th St, Saint Charles MO, 63301-2416. NPI Number 1033115704 has the healthcare provider type.

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1730352394 NPI number is provided on an as is basis without warranty of any kind. 1730352394 is maintained by the National Plan & Provider Enumeration System. The contents of First Capitol Dermatology,llc are for informational purposes only.