Organization
SKIN SURGERY CENTER OF MISSOURI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAADIA TAUFIQ RAZA (DIRECTOR)
(314) 276-0385
Entity
Organization
Contact information
Practice address
6704 KEATON CORPORATE PKWY STE 100, O FALLON, MO 63368-8680
(636) 300-9596
(636) 300-9598
Mailing address
6704 KEATON CORPORATE PKWY, O FALLON, MO 63368-8680
(636) 300-9596
(636) 300-9598
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
—
MO
Other
Enumeration date
11/09/2007
Last updated
01/11/2021
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