SLUCare Department of Dermatology – Dermatology Physician, NPI 1740253095
Dermatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SLUCare Department of Dermatology
1225 SOUTH GRAND, 2L, DOOR 3,4,5
ST LOUIS, MO 63104
Phone: (314) 977-3400
Type: Location
1755 S Grand Blvd
Saint Louis, MO 631041540
Phone: (314) 977-6828
Fax: (314) 256-3431
Type: Location
650, Chestnut Street, Downtown, City of Saint Louis, Missouri, 63101, United States
SAINT LOUIS, MO 631032236
Phone: (314) 977-6828
Type: Mailing
1755, South Grand Boulevard, Shaw, City of Saint Louis, Missouri, 63104, United States
SAINT LOUIS, MO 631041540
Phone: (314) 977-6828
Fax: (314) 256-3431
Type: Location
3545 LINDELL BLVD FL 3
SAINT LOUIS, MO 631031020
Phone: (314) 977-6828
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63104)
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