| NPI | 1346461241 |
|---|---|
| Doing Business As | SLUCARE DEPT OF PEDIATRIC DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | ALYCE LANXON Executive Director 314-977-6828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2021-09-21 |