Epiphany Dermatology of Missouri, LLC
Epiphany Dermatology of Missouri, LLC provides Dermatology Physician services in Saint Louis, Missouri. Registered with an NPI since 2017.
- In the registry since
- 2017
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2325 Dougherty Ferry Rd Ste 201Saint Louis, MO 63122-3356
Phone: (314) 993-1714
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|
Record details
| NPI number | 1528573342 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gheorghe Pusta — Ceo · (512) 628-0465 |
| NPI enumerated | December 4, 2017 |
| Last updated in NPPES | December 7, 2023 |
| Certification date | December 7, 2023 |
| Mailing address | 7300 Ranch Rd. 2222, Bldg 1, Ste 200, Austin, TX 78730-2309 |
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