Organization
SKIN PATHOLOGY LLC
Active
Organization
SKIN PATHOLOGY LLC
Active
Other names
Academy of Skin Pathology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. XIAO-DONG WANG MD (PRESIDENT)
(314) 522-8896
Entity
Organization
Contact information
Practice address
6944 N HANLEY RD, HAZELWOOD, MO 63042-2933
(314) 522-8896
Mailing address
6944 N HANLEY RD, HAZELWOOD, MO 63042-2933
(314) 522-8896
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
2002014408
MO
Other
Enumeration date
07/27/2006
Last updated
08/22/2020
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