First Capitol Dermatology, L.l.c.
NPI #1730352394 in St. Charles, Missouri
Provider Information
- NPI Number
- 1730352394
- Entity Type
- Organization
- Organization Name
- First Capitol Dermatology, L.l.c.
- Primary Specialty
- Dermatology - MOHS-Micrographic Surgery
- Enumeration Date
- Apr 3, 2008
- Last Updated
- Mar 1, 2017
Practice Location
- Address
- 901 S. 5TH ST.
- Address 2
- FIRST CAPITOL DERMATOLOGY, L.L.C.
- City
- St. Charles
- State
- Missouri
- ZIP Code
- 63301-2416
- Phone
- (636) 916-1300
Authorized Official
- Name
- MR. HENRY W. CLEVER III, MD
- Title
- PHYSICIAN/OWNER
- Phone
- (636) 916-1300
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery |
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