Organization
ST. LOUIS DERMATOLOGY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSAMUEDE OSEMWOTA MD (OWNER)
(314) 474-0114
Entity
Organization
Contact information
Practice address
8888 LADUE RD STE 210, SAINT LOUIS, MO 63124-2056
(314) 474-0114
(314) 526-2686
Mailing address
536 ROSEDALE AVE APT 201, SAINT LOUIS, MO 63112-1427
(334) 221-2357
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2017039492
MO
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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