| NPI | 1306662200 |
|---|---|
| Doing Business As | PSC DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANNE RANCOUR Manager 314-307-2996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2024-11-25 |