Regional Dermatology, LLC

NPI #1396064879 in Festus, Missouri

Provider Information

NPI Number: 1396064879
Entity Type: Organization
Organization Name: Regional Dermatology, LLC
Primary Specialty: Dermatology
Enumeration Date: May 24, 2010
Last Updated: May 24, 2010

Practice Location

Address: 1463 HIGHWAY 61
Address 2: SUITE B
City: Festus
State: Missouri
ZIP Code: 63028-4109
Phone: (636) 933-7600

Authorized Official

Name: DR. SARAH L JENSEN, M.D.
Title: OWNER
Phone: (636) 933-7600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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