| NPI | 1275661589 |
|---|---|
| Doing Business As | MIDWEST DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | ERIC W PITTS Owner 314-953-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |