Organization
ST. LOUIS DERMATOLOGY AND SURGERY CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAEYOUNG YOON (PARTNER)
(314) 520-7919
Entity
Organization
Contact information
Practice address
12855 N 40 DR, SUITE 180, SAINT LOUIS, MO 63141-8635
(314) 878-5599
Mailing address
200 DENE DR, COLUMBIA, MO 65201-6598
(573) 446-6400
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
—
—
Other
Enumeration date
07/09/2006
Last updated
03/08/2012
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