Individual
DR. SUSAN JOY BAYLISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 CHILDRENS PL, DIV IM DERMATOLOGY, STE 2A AND 2D, SAINT LOUIS, MO 63110-1002
(314) 454-2714
(833) 642-0691
Mailing address
660 S EUCLID AVE, MSC 8123-29-10014, SAINT LOUIS, MO 63110-1010
(314) 273-3376
(833) 642-0691
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
R7N88
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202910808
—
MO
Enumeration date
07/17/2006
Last updated
09/21/2023
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