FIRST CAPITOL DERMATOLOGY, L.L.C.

ST. CHARLES, MO
NPI1730352394
Entity TypeOrganization
Authorized ContactHENRY W. CLEVER
Physician/Owner
636-916-1300
Organization Subpart ?No
Primary Taxonomy207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence:   R4P68)
Additional Taxonomies207ND0101X Dermatology, MOHS-Micrographic Surgery
(Licence: MO  R4P68)
Enumeration Date2008-04-03
Last Update Date2017-03-01
Business Address
FIRST CAPITOL DERMATOLOGY, L.L.C.
901 S. 5TH ST. FIRST CAPITOL DERMATOLOGY, L.L.C.
ST. CHARLES, MO 63301-2416
Phone number: 636-916-1300
Mailing Address
FIRST CAPITOL DERMATOLOGY, L.L.C.
901 S. 5TH ST. FIRST CAPITOL DERMATOLOGY, L.L.C.
ST. CHARLES, MO 63301-2416
Phone number: 636-916-1300