Organization
SKIN SURGERY CENTER OF MISSOURI, LLC
Active
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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