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1295913028
MID-COUNTY DERMATOLOGY, INC
SAINT LOUIS, MO
NPI
1295913028
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Entity Type
Organization
Authorized Contact
CONNIE GIBSTINE
Manager
314-994-0200
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
Enumeration Date
2008-02-04
Last Update Date
2009-01-20
Business Address
MID-COUNTY DERMATOLOGY, INC
3009 N BALLAS RD STE 208B
SAINT LOUIS, MO 63131-2322
Phone number: 314-994-0200
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Mailing Address
MID-COUNTY DERMATOLOGY, INC
3009 N BALLAS RD STE 208B
SAINT LOUIS, MO 63131-2322
Phone number: 314-994-0200
Copy
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