Organization
SAINT PAUL DERMATOLOGY LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANASTASIOS PAPPAS MD (MD/OWNER)
(651) 354-8105
Entity
Organization
Contact information
Practice address
400 SELBY AVE STE S, SAINT PAUL, MN 55102-4520
(523) 734-1239
(651) 383-4947
Mailing address
535 DAYTON AVE, SAINT PAUL, MN 55102-1709
(651) 354-8105
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
05/17/2018
Last updated
09/20/2018
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