O'fallon Dermatology Specialists, P.c.

NPI 1255468906 - Specialist - 174400000X

NPI Details
NPI 1255468906
Enumeration Date 02/28/2007
Last Updated 03/22/2015
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name ANGELA J ANGELA
Position PHYSICIAN
Phone (636) 561-3277
Fax (636) 561-5280
Practice Location
7136 S OUTER ROAD 364
O FALLON MO, 63368-7756, US
Phone (636) 561-3277
Fax (636) 561-5280
Business Location
7136 S OUTER ROAD 364
O FALLON MO, 63368-7756, US
Phone (636) 561-3277
Fax (636) 561-5280
Toxanomy
Taxonomy Code 174400000X
License State Missouri
License Number 2004004910
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According to our database, O'fallon Dermatology Specialists, P.c. NPI is 1255468906, taxonomy code is 174400000X and license number is 2004004910, license state is located at Missouri. O'fallon Dermatology Specialists, P.c. physically located at 7136 S Outer Road 364, O Fallon MO, 63368-7756. NPI Number 1033115704 has the healthcare provider type.

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1255468906 NPI number is provided on an as is basis without warranty of any kind. 1255468906 is maintained by the National Plan & Provider Enumeration System. The contents of O'fallon Dermatology Specialists, P.c. are for informational purposes only.