Laser & Dermatologic Surgery Center, Inc.
NPI #1801862065 in Chesterfield, Missouri
Provider Information
- NPI Number
- 1801862065
- Entity Type
- Organization
- Organization Name
- Laser & Dermatologic Surgery Center, Inc.
- Primary Specialty
- Dermatology - MOHS-Micrographic Surgery
- Enumeration Date
- Feb 27, 2006
- Last Updated
- Feb 13, 2012
Practice Location
- Address
- 1001 CHESTERFIELD PKWY E
- Address 2
- SUITE 101
- City
- Chesterfield
- State
- Missouri
- ZIP Code
- 63017-2041
- Phone
- (314) 878-3839
Authorized Official
- Name
- MR. SCOTT RADLE, BS HEALTHCARE ADMIN
- Title
- PRACTICE MANAGER
- Phone
- (314) 878-3839
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dermatology - MOHS-Micrographic Surgery — MOHS-Micrographic Surgery |
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