| NPI | 1962624585 |
|---|---|
| Doing Business As | SLUCARE DEPT OF DERMATOLOGY-MOHS SURGERY |
| Entity Type | Organization |
| Authorized Contact | ALYCE LANXON Executive Director 314-977-6828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2021-09-21 |