| NPI | 1578776167 |
|---|---|
| Other Name | PREMIER DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY T. REED Owner 314-567-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MO 112298) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2008-06-17 |