Organization
MERCY CLINIC DERMATOLOGY LLC
Active
Parent organization
MERCY CLINIC EAST COMMUNITIES
Organization subpart
Yes
Provider details
NPI number
Legal business name
MERCY CLINIC EAST COMMUNITIES
Authorized official
JONATHAN TYLER STURGEON (CFO)
(314) 251-1917
Entity
Organization
Contact information
Practice address
901 PATIENTS FIRST DR STE 3600, WASHINGTON, MO 63090-4700
(636) 390-1595
(636) 390-1596
Mailing address
901 PATIENTS FIRST DR STE 3600, WASHINGTON, MO 63090-4700
(636) 390-1595
(636) 390-1596
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033470745
—
MO
01
—
DT7966
RAILROAD MEDICARE
MO
Enumeration date
05/30/2012
Last updated
02/19/2026
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